Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fau Broward Health Academic Practice Plan Inc

Organization Surgery Physician · NPI 1386486264

Fau Broward Health Academic Practice Plan Inc provides Surgery Physician services in Deerfield Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 W Sample Rd Ste 207
Deerfield Beach, FL 33064-3547
Phone: (954) 958-7195
Fax: (954) 958-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1386486264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Capote — Md/Ceo · (954) 786-6449
NPI enumeratedJune 11, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address2100 E Sample Rd Ste 101, Lighthouse Point, FL 33064-7574

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