Healthcare Provider Details

I. General information

NPI: 1801842034
Provider Name (Legal Business Name): SHELDON KONIGSBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7305 N. MILITARY TRAIL MEDICINE (111)
WEST PALM BEACH FL
33410
US

IV. Provider business mailing address

7305 N. MILITARY TRAIL MEDICINE (111)
WEST PALM BEACH FL
33410
US

V. Phone/Fax

Practice location:
  • Phone: 561-422-6650
  • Fax: 561-422-8708
Mailing address:
  • Phone: 561-422-6650
  • Fax: 561-422-8708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME29026
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME29026
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: