Fau Broward Health Academic Practice Plan INC

NPI #1922849439 in Lighthouse Point, Florida

Provider Information

NPI Number
1922849439
Entity Type
Organization
Organization Name
Fau Broward Health Academic Practice Plan INC
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Jun 6, 2024
Last Updated
Jun 6, 2024

Practice Location

Address
2100 E SAMPLE RD STE 101
State
Florida
ZIP Code
33064-7574
Phone
(954) 958-7195

Authorized Official

Name
DR. JERRY CAPOTE, MD
Title
MD/CEO
Phone
(954) 786-6449

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Internal Medicine - Pulmonary DiseasePulmonary Disease

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