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Organization
FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
Active
Organization
FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY CAPOTE MD (MD/CEO)
(954) 786-6449
Entity
Organization
Contact information
Practice address
1 W SAMPLE RD STE 301, DEERFIELD BEACH, FL 33064-3547
(954) 958-7195
(954) 958-7115
Mailing address
2100 E SAMPLE RD STE 101, LIGHTHOUSE POINT, FL 33064-7574
(954) 958-7195
(954) 958-7115
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
08/20/2024
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