Organization
ACTIVE LIFE ANTI-AGING AND REGENERATIVE MEDICINE PA
Active
Organization
ACTIVE LIFE ANTI-AGING AND REGENERATIVE MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J HANOPOLE DC (PRESIDENT)
(954) 423-0020
Entity
Organization
Contact information
Practice address
8320 W SUNRISE BLVD, PLANTATION, FL 33322-5435
(954) 423-0020
(954) 423-3091
Mailing address
8320 W SUNRISE BLVD, PLANTATION, FL 33322-5435
(954) 423-0020
(954) 423-3091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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