Healthcare Provider Details

I. General information

NPI: 1346243359
Provider Name (Legal Business Name): REGINE BATAILLE M.D., F.A.A.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date: 03/16/2006
Reactivation Date: 03/21/2006

III. Provider practice location address

202 SE 23RD AVE
BOYNTON BEACH FL
33435-7620
US

IV. Provider business mailing address

202 SE 23RD AVE
BOYNTON BEACH FL
33435-7620
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-1317
  • Fax: 561-364-0097
Mailing address:
  • Phone: 561-737-1317
  • Fax: 561-364-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0079891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: