Healthcare Provider Details

I. General information

NPI: 1205220324
Provider Name (Legal Business Name): MARTIN PETER SAYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CORAL HILLS DR
CORAL SPRINGS FL
33065-4108
US

IV. Provider business mailing address

1401 NAUTILUS ISLE
DANIA FL
33004-2332
US

V. Phone/Fax

Practice location:
  • Phone: 954-344-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME136902
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberME136902
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN20757
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: