Healthcare Provider Details

I. General information

NPI: 1659803013
Provider Name (Legal Business Name): HAYDEN MATTHEW SANDLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SE 8TH AVE APT 3070
FT LAUDERDALE FL
33301-4066
US

IV. Provider business mailing address

215 SE 8TH AVE APT 3070
FT LAUDERDALE FL
33301-4066
US

V. Phone/Fax

Practice location:
  • Phone: 954-593-0058
  • Fax:
Mailing address:
  • Phone: 954-593-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number313776
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number313776
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: