Healthcare Provider Details

I. General information

NPI: 1528621703
Provider Name (Legal Business Name): HAYLEY SACKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 HOLLYWOOD BLVD STE 140
HOLLYWOOD FL
33021-6900
US

IV. Provider business mailing address

2900 CORPORATE WAY DOOR D
MIRAMAR FL
33025
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6300
  • Fax: 954-961-3600
Mailing address:
  • Phone: 954-265-6300
  • Fax: 954-961-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME175179
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: