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FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
NPI 1386486264
Surgery in Deerfield Beach, FL

Active since June 11, 2024CLIA Certified · 3 labs
1 W SAMPLE RD STE 207, DEERFIELD BEACH, FL 33064(954) 958-7195(954) 958-7115 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Aug 15, 2024, Jun 11, 2024 (3 updates tracked since 2024).

About Fau Broward Health Academic Practice Plan Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC (NPI 1386486264) is a healthcare organization registered as a surgery in Deerfield Beach, Florida and active in the NPI registry since June 2024. The organization holds 3 active CLIA laboratory certificates and lists Jerry Capote, Md/ceo, as its authorized official.

NPPES Registry Identity

NPI1386486264
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameFAU BROWARD HEALTH ACADEMIC PRACTICE PLAN INC
Location Address1 W SAMPLE RD STE 207Deerfield Beach, FL 33064-3547
Mailing Address2100 E Sample Rd Ste 101Lighthouse Point, FL 33064-7574
Phone(954) 958-7195
Fax(954) 958-7115
Organization SubpartNo
Authorized OfficialJerry CapoteMd/ceo · (954) 786-6449
Enumeration DateJune 11, 2024
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1386486264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
1 W SAMPLE RD STE 207, Deerfield Beach, FL 33064
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2312953

Fau/Broward Health Academic Practice Plan, Inc · Deerfield Beach, FL
Active · expires Oct 21, 2026
CLIA Number10D2312953
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorJerry Capote
Laboratory Phone(954) 958-7195
Laboratory LocationFau/Broward Health Academic Practice Plan, Inc1 West Sample Road Suite 207, Deerfield Beach, FL 33064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2316625

Fau/Broward Health Academic Practice Plan Inc · Fort Lauderdale, FL
Active · expires Jan 8, 2027
CLIA Number10D2316625
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorJerry Capote
Laboratory Phone(954) 958-7195
Laboratory LocationFau/Broward Health Academic Practice Plan Inc6405 N Federal Highway Suite 404, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2312945

Fau/Broward Health Academic Practice Plan, Inc · Deerfield Beach, FL
Active · expires Oct 21, 2026
CLIA Number10D2312945
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorJerry Capote
Laboratory Phone(954) 958-7195
Laboratory LocationFau/Broward Health Academic Practice Plan, Inc1 West Sample Road Suite 301, Deerfield Beach, FL 33064
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2308288

Fau Broward Health Academic Practice Plan Inc · Lighthouse Point, FL
Expired · Jul 24, 2026
CLIA Number10D2308288
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorJerry Capote
Laboratory Phone(954) 958-7198
Laboratory LocationFau Broward Health Academic Practice Plan Inc2100 E Sample Rd Suite 101, Lighthouse Point, FL 33064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON BEN-OR MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1 W SAMPLE RD STE 207
DEERFIELD BEACH, FL 33064
Broward County (954) 958-7195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fau Broward Health Academic Practice Plan Inc's NPI number?

The NPI number for Fau Broward Health Academic Practice Plan Inc is 1386486264. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is Fau Broward Health Academic Practice Plan Inc located?

Fau Broward Health Academic Practice Plan Inc is located at 1 W Sample Rd Ste 207, Deerfield Beach, FL 33064. The listed phone number is (954) 958-7195.

What is Fau Broward Health Academic Practice Plan Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Fau Broward Health Academic Practice Plan Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fau Broward Health Academic Practice Plan Inc was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.