FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC – NPI #1447092325
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC is a surgeon located in DEERFIELD BEACH, FL. NPPES has assigned the NPI number 1447092325 to FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC on June 11, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Aug 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC below.

NPI Profile for
FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC

NPI Number
1447092325
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
Primary location
1 W SAMPLE RD STE 301
DEERFIELD BEACH, FL 33064-3547
Phone: (954) 958-7195 Fax: (954) 958-7115
Mailing address
2100 E SAMPLE RD STE 101
LIGHTHOUSE POINT, FL 33064-7574
Phone: (954) 958-7195 Fax: (954) 958-7115
Organization Subpart
No
Authorized Official
JERRY CAPOTE
MD/CEO
Phone: (954) 786-6449
Updated
Certification Date
Aug 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.