ACTIVE LIFE ANTI-AGING AND REGENERATIVE MEDICINE PA (NPI# 1922651843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922651843 |
| Entity Type | Organization |
| Organization Name | ACTIVE LIFE ANTI-AGING AND REGENERATIVE MEDICINE PA |
| Practice Address |
8320 W Sunrise Blvd Plantation FL 33322-5435 |
| Practice Telephone | 9544230020 |
| Practice Fax Number | 9544233091 |
| Mailing Telephone | 9544230020 |
| Mailing Fax Number | 9544233091 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | ROBERT J HANOPOLE (PRESIDENT) |
| Authorized Official Telephone | 9544230020 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
8320 W SUNRISE BLVD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33322-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711400 | Robert J Hanopole | Chiropractor | 8320 W Sunrise Blvd, Plantation, FL 33322-5435 | 2005-06-22 |
| 1457770778 | Pediatric Dental Land | Dentist | 8320 W Sunrise Blvd, Suite 210, Plantation, FL 33322-5435 | 2014-04-15 |
| 1114362233 | Heart To Heart Home Health Care Inc | Home Health | 8320 W Sunrise Blvd, Ste 215, Plantation, FL 33322-5435 | 2013-05-02 |
| 1124371414 | Total Health and Rehab of Delray Beach LLC | Chiropractor | 8320 W Sunrise Blvd, Suite 111, Plantation, FL 33322-5435 | 2012-10-24 |
| 1922364827 | Prescription Headquarters Inc | Pharmacy | 8320 W Sunrise Blvd, Suite 107, Plantation, FL 33322-5435 | 2012-04-04 |
| 1952677239 | Benjamin Porras | Dentist | 8320 W Sunrise Blvd, Suite #106, Plantation, FL 33322-5435 | 2012-03-30 |
| 1770875593 | Kidscare Pediatrics of Plantation, P.a. | Pediatrics | 8320 W Sunrise Blvd, Suite 200, Plantation, FL 33322-5435 | 2011-05-12 |
| 1437459153 | Frederic Ivan Kaplan | Dentist | 8320 W Sunrise Blvd, Suite 106, Plantation, FL 33322-5435 | 2010-10-28 |
| 1114239787 | Nestor Humberto D'alessandria | Dentist | 8320 W Sunrise Blvd, Suite 210, Plantation, FL 33322-5435 | 2010-07-11 |
| 1407036353 | Martin Joseph Diamond | Podiatrist | 8320 W Sunrise Blvd, Plantation, FL 33322-5435 | 2007-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032282 | American Current Care P.a . | Clinic/Center | 12170 W Sunrise Blvd, Plantation, FL 33323-2227 | 2020-04-17 |
| 1427696681 | Regenestem | Clinic/Center | 9633 W Broward Blvd Ste 1, Plantation, FL 33324-2332 | 2019-12-18 |
| 1346746179 | Diversity Mri | Clinic/Center | 801 S University Dr Ste K103a, Plantation, FL 33324-3367 | 2018-04-02 |
| 1417458464 | Palm Medical Center Plantation, LLC | Clinic/Center | 6971 W Sunrise Blvd Ste 105-106, Plantation, FL 33313-4407 | 2018-02-26 |
| 1003276635 | Path Medical, LLC | Clinic/Center | 8138 W Broward Blvd, Plantation, FL 33324-2000 | 2016-02-24 |
| 1902006786 | Cannon Chiropractic Center | Clinic/Center | 920 Sw 40th Ave, Plantation, FL 33317-4523 | 2007-07-20 |
| 1750997755 | Bcc Therapy Group Inc | Clinic/Center | 7875 Nw 11th St, Plantation, FL 33322-5155 | 2020-09-16 |
| 1396301743 | Brain Gains Therapy Solutions, LLC | Clinic/Center | 13570 Nw 2nd Manor Bdg 4 Apt 101, Plantation, FL 33325 | 2019-05-10 |
| 1730549411 | Pro Rehab Group Corp | Clinic/Center | 4100 S Hospital Dr, Suite 100, Plantation, FL 33317-2813 | 2016-02-24 |
| 1811366628 | Florida Neurodiagnostics, LLC | Clinic/Center | 1200 S Pine Island Rd, Plantation, FL 33324-4413 | 2015-09-22 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33322 |
Please comment or provide details below to improve the information on ACTIVE LIFE ANTI-AGING AND REGENERATIVE MEDICINE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.