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
2100 E SAMPLE RD STE 101, LIGHTHOUSE POINT, FL 33064-7574
(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
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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