Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fau Broward Health Academic Practice Plan Inc

Organization Vascular Surgery Physician · NPI 1447092325

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

In the registry since
2024
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 301
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

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1447092325
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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