Healthcare Provider Details

I. General information

NPI: 1578415527
Provider Name (Legal Business Name): RE-GEN INSURANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21879 RAINBERRY PARK CIR
BOCA RATON FL
33428-2932
US

IV. Provider business mailing address

21879 RAINBERRY PARK CIR
BOCA RATON FL
33428-2932
US

V. Phone/Fax

Practice location:
  • Phone: 561-577-7440
  • Fax:
Mailing address:
  • Phone: 561-577-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MELVIA WELCH
Title or Position: CEO
Credential:
Phone: 561-577-7440