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NPI Code Detail

MEDICARE: MR. DAVID GERALD SAYRE

MEDICARE: MR. DAVID GERALD SAYRE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1679361802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID GERALD SAYRE
Provider Business Mailing Address
First Line : 7097 NW 22ND ST
Second Line :
City : SUNRISE
State : FL
Zip : 33313-3838
Country : US
Telephone Number : 954-647-6612
Fax Number :
Provider Business Practice Location Address
First Line : 2331 NE 53RD ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-3235
Country : US
Telephone Number : 954-491-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2025
Last Update Date : 04/28/2025

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Directions to “ MR. DAVID GERALD SAYRE ” Practice Location

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