Fau Broward Health Academic Practice Plan Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC

Practice address

6405 N Federal Hwy Ste 404
Fort Lauderdale, FL 33308-1414

Phone

(954) 958-7195

Fax

(954) 958-7115

NPI assigned

Jun 20, 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

Physician/Ceo

Phone

(954) 786-6449

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1932943479",
    "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": "6405 N FEDERAL HWY STE 404",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081414",
            "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": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "CAPOTE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "954-786-6449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamekia Latara Fashaw
• Megan Fasolka
• Gina Fasolo, CRNA
• Amelia Fason-Gordon, APRN
• Steven Fass
• Ronald Barry Fauer, M.D.
• Ryan W.F. Faught, M.D.
• Hubert Faustin, MS.
• Favreau Dermatology LLC
• David Michael Fawcett, PHD, LCSW

• Neurology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.