Provider Demographics
NPI:1679361802
Name:SAYRE, DAVID GERALD
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GERALD
Last Name:SAYRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7097 NW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3838
Mailing Address - Country:US
Mailing Address - Phone:954-647-6612
Mailing Address - Fax:
Practice Address - Street 1:2331 NE 53RD ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3235
Practice Address - Country:US
Practice Address - Phone:954-491-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)