MEDICARE: KNOPFLER WHOLISTIC WELLNESS GROUP P.A.

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	CH 9287	FL

General Provider Information

NPI Number	:	1104944917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNOPFLER WHOLISTIC WELLNESS GROUP P.A.

Provider Business Mailing Address
First Line	:	3389 SHERIDAN ST # 492
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3606
Country	:	US
Telephone Number	:	954-483-8644
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 GOLDEN ISLES DR STE 201A
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4729
Country	:	US
Telephone Number	:	954-483-8644
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. SUSAN KNOPFLER
Credential	:	D.C.
Telephone Number	:	954-483-8644

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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