Fau Broward Health Academic Practice Plan INC
NPI #1447092325 in Deerfield Beach, Florida
Provider Information
- NPI Number
- 1447092325
- Entity Type
- Organization
- Organization Name
- Fau Broward Health Academic Practice Plan INC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Jun 11, 2024
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 1 W SAMPLE RD STE 301
- City
- Deerfield Beach
- State
- Florida
- ZIP Code
- 33064-3547
- Phone
- (954) 958-7195
Authorized Official
- Name
- DR. JERRY CAPOTE, MD
- Title
- MD/CEO
- Phone
- (954) 786-6449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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