Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Active Life Anti-Aging and Regenerative Medicine PA

Organization Clinic/Center · NPI 1922651843

Active Life Anti-Aging and Regenerative Medicine PA is a Clinic/Center in Plantation, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8320 W Sunrise Blvd
Plantation, FL 33322-5435
Phone: (954) 423-0020
Fax: (954) 423-3091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1922651843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Hanopole — President · (954) 423-0020
NPI enumeratedJuly 19, 2019
Last updated in NPPESJuly 19, 2019
Mailing address8320 W Sunrise Blvd, Plantation, FL 33322-5435

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