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 (PHYSICIAN/CEO)
(954) 786-6449
Entity
Organization
Contact information
Practice address
6405 N FEDERAL HWY STE 404, FORT LAUDERDALE, FL 33308-1414
(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
2084N0400X
Neurology Physician
Primary
—
—
2084V0102X
Vascular Neurology Physician
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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