Healthcare Provider Details

I. General information

NPI: 1134126014
Provider Name (Legal Business Name): SHELDON REGENBAUM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N DIXIE HWY STE 103
WEST PALM BEACH FL
33401-2715
US

IV. Provider business mailing address

5644 WHIRLAWAY RD
PALM BEACH GARDENS FL
33418-7735
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-8893
  • Fax: 561-833-8939
Mailing address:
  • Phone: 561-626-4605
  • Fax: 561-532-3126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME0065837
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME65837
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: