MEDICARE: ROBERT J HANOPOLE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH6895	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55297	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1093711400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J HANOPOLE DC

Provider Business Mailing Address
First Line	:	8320 W SUNRISE BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5435
Country	:	US
Telephone Number	:	954-423-0020
Fax Number	:	954-423-3091

Provider Business Practice Location Address
First Line	:	8320 W SUNRISE BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5435
Country	:	US
Telephone Number	:	954-423-0020
Fax Number	:	954-423-3091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/16/2009

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Directions to “ ROBERT J HANOPOLE DC” Practice Location

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