Fau Broward Health Academic Practice Plan Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC

Practice address

1 W Sample Rd Ste 301
Deerfield Beach, FL 33064-3547

Phone

(954) 958-7195

Fax

(954) 958-7115

NPI assigned

Jun 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Capote, MD

Title

MD/Ceo

Phone

(954) 786-6449

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1447092325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD STE 301",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-958-7195",
            "fax_number": "954-958-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CAPOTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "954-786-6449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Olivia Farrington
• Alison Michelle Faryna, M.S., AUD-C
• Pamela Fashaw
• Faran Fatehi
• Fau Broward Health Academic Practice Plan Inc
• Shelby Faucheux
• Valeria Faz, BS IN BIOLOGY, RBT
• Sandra Fedor
• Dynelle Feghhi
• Dillon Feierstadt, DC

• Vascular Surgery Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.