Active NPI 1134126014 Individual Practitioner Male Practitioner

Dr. Sheldon Regenbaum , MD

Anesthesiology • West Palm Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Regenbaum, MD is a certified Anesthesiology practicing in West Palm Beach, FL. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Regenbaum delivers high-quality medical care to the local community at 1500 N DIXIE HWY.

Dr. Regenbaum is affiliated with Greater Florida Anesthesiologists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on eyelid, anesthesia for exam of colon using an endoscope, anesthesia for retinal surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 N Dixie Hwy
Ste 103

West Palm Beach, FL 334012715

Telephone 5618338893

Fax 5618338939

Associated Practice Facility / Clinic

🏢 Anesthesia & Pain Medicine Pa Facility NPI 1669438693

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in West Palm Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +20.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

26 Specialists

Practicing in West Palm Beach, FL (3533 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Regenbaum (44 Years) 44 Yrs

West Palm Beach Specialty Average (23.2 Years) 23.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00103 Anesthesia for procedure on eyelid	38	38	$906.68	$98.68
00812 Anesthesia for exam of colon using an endoscope	25	25	$570.72	$45.47
00145 Anesthesia for retinal surgery	23	21	$1050.09	$104.97
00811 Anesthesia for procedure on large bowel using an endoscope	21	21	$514.76	$58.55
00160 Anesthesia for other procedure on nose and sinuses	17	17	$1232.12	$133.78
00813 Anesthesia for procedure on small and large bowel using an endoscope	16	16	$646.25	$71.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	691	262	$635.00	$129.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	265	42	$7.00	$1.05
99213 Established patient office or other outpatient visit, typically 15 minutes	213	150	$432.00	$92.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	107	83	$267.00	$13.37
80305 Testing for presence of drug, read by direct observation	105	92	$313.00	$12.35
62323 Injection of substance into lower spine canal using imaging guidance	79	59	$1473.00	$101.03
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	64	48	$1623.32	$128.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$988.00	$171.07
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	44	13	$7934.00	$325.79
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	40	25	$1413.45	$125.28
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	40	25	$706.05	$70.99
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	36	31	$762.50	$54.94
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	31	28	$1380.56	$83.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$643.00	$115.69
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	30	28	$3349.70	$269.21
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	26	23	$631.00	$194.77
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	19	$570.80	$104.30
62321 Injection of substance into middle or upper spine canal using imaging guidance	20	14	$1657.00	$110.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$1083.00	$53.88
0275T Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin	14	14	$9477.00	$1011.42
63685 Insertion of spinal neurostimulator pulse generator or receiver	13	11	$2360.00	$210.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	785	224	$635.16	$130.63
99213 Established patient office or other outpatient visit, typically 15 minutes	488	214	$432.43	$93.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	301	40	$7.00	$1.14
80305 Testing for presence of drug, read by direct observation	270	126	$313.00	$12.41
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	127	80	$267.00	$13.86
62323 Injection of substance into lower spine canal using imaging guidance	91	67	$1481.09	$102.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$988.00	$175.05
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	51	38	$1629.69	$133.55
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	49	30	$1527.77	$137.40
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	48	30	$757.26	$78.61
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	39	29	$1452.40	$89.03
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	34	29	$3586.39	$286.61
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	31	26	$732.00	$54.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$643.00	$117.95
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	27	18	$571.00	$105.33
62321 Injection of substance into middle or upper spine canal using imaging guidance	26	20	$1657.00	$113.59
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	23	19	$631.00	$196.32
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	16	$1083.00	$60.37
0275T Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin	18	18	$9740.25	$1104.67
22869 Insertion of stabilizing or separating device into lower spine at single level	14	14	$2518.00	$448.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,062	250	$634.97	$135.12
99213 Established patient office or other outpatient visit, typically 15 minutes	355	179	$432.00	$95.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	215	34	$7.00	$1.26
80305 Testing for presence of drug, read by direct observation	146	110	$313.00	$12.60
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	129	87	$267.00	$13.16
62323 Injection of substance into lower spine canal using imaging guidance	101	75	$1473.00	$105.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	59	$978.73	$176.90
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	49	21	$1453.98	$91.48
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	48	35	$1582.27	$130.90
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	40	26	$1413.45	$122.63
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	38	24	$698.48	$73.29
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	34	26	$764.29	$58.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$643.00	$118.31
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	29	23	$608.34	$105.49
99441 Telephone medical discussion with physician, 5-10 minutes	27	15	$150.00	$57.65
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	26	21	$3487.96	$336.76
62321 Injection of substance into middle or upper spine canal using imaging guidance	17	13	$1657.00	$115.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$1083.00	$56.52
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	13	12	$706.73	$75.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$259.00	$58.41
0275T Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin	11	11	$10338.55	$1115.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,007	266	$634.26	$112.20
99213 Established patient office or other outpatient visit, typically 15 minutes	313	128	$430.92	$77.67
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	115	77	$267.14	$13.15
62323 Injection of substance into lower spine canal using imaging guidance	100	69	$1467.13	$108.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	71	11	$7.00	$1.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$988.00	$172.43
99441 Telephone medical discussion with physician, 5-10 minutes	57	32	$150.00	$47.42
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	53	23	$1406.00	$91.47
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	30	25	$1480.77	$125.86
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	26	23	$3440.83	$333.88
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	25	20	$761.28	$59.33
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	23	20	$1435.50	$133.25
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	23	20	$715.96	$77.53
62321 Injection of substance into middle or upper spine canal using imaging guidance	22	16	$1657.00	$110.63
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	22	19	$77.00	$14.60
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	17	$582.86	$105.87
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	21	18	$712.14	$77.89
J1030 Injection, methylprednisolone acetate, 40 mg	20	17	$13.95	$6.05
99442 Telephone medical discussion with physician, 11-20 minutes	18	16	$200.00	$79.15
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	17	12	$733.10	$81.34
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	17	12	$1524.78	$145.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	14	$1093.50	$56.56
J1040 Injection, methylprednisolone acetate, 80 mg	12	11	$88.00	$11.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,141	408	$635.04	$111.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	146	26	$7.00	$1.57
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	124	90	$267.00	$13.13
62323 Injection of substance into lower spine canal using imaging guidance	119	93	$1473.00	$104.76
80305 Testing for presence of drug, read by direct observation	117	99	$313.00	$12.35
99213 Established patient office or other outpatient visit, typically 15 minutes	79	64	$431.80	$77.24
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	59	28	$1408.09	$89.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$643.00	$113.79
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	47	41	$1493.98	$122.68
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	41	31	$720.72	$77.24
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	41	31	$1442.82	$132.86
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	36	31	$732.00	$55.75
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	35	29	$712.50	$77.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$988.00	$172.55
62321 Injection of substance into middle or upper spine canal using imaging guidance	34	22	$1642.44	$114.83
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	31	29	$3399.77	$327.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	22	$1083.00	$57.23
J1030 Injection, methylprednisolone acetate, 40 mg	26	20	$14.00	$6.32
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	22	19	$622.91	$102.72
62322 Injection of substance into lower spine canal	20	20	$1473.00	$92.33
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$432.72	$79.71
62323 Injection of substance into lower spine canal using imaging guidance	14	14	$1473.00	$261.11
J1040 Injection, methylprednisolone acetate, 80 mg	14	14	$88.00	$12.03
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	12	$267.00	$52.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$925.73	$38.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	984	332	$634.74	$108.83
80305 Testing for presence of drug, read by direct observation	119	96	$313.00	$13.09
99213 Established patient office or other outpatient visit, typically 15 minutes	108	84	$432.00	$75.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	101	15	$7.00	$1.78
62323 Injection of substance into lower spine canal using imaging guidance	96	66	$1468.30	$101.68
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	81	61	$267.10	$13.54
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	54	21	$1314.69	$82.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$988.00	$171.98
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	41	30	$1537.85	$123.91
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	16	$168.00	$33.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$643.00	$113.04
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	33	13	$7934.00	$337.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	20	$1025.81	$60.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	24	$850.00	$142.80
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	28	21	$732.00	$55.21
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	27	22	$3222.61	$304.65
J1030 Injection, methylprednisolone acetate, 40 mg	23	19	$14.00	$6.68
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	22	19	$665.64	$68.24
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	22	19	$1332.55	$117.72
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	18	15	$656.25	$70.26
20552 Injections of trigger points in 1 or 2 muscles	16	11	$333.00	$58.01
62321 Injection of substance into middle or upper spine canal using imaging guidance	15	14	$1657.00	$114.04
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	13	$621.82	$98.45
J1040 Injection, methylprednisolone acetate, 80 mg	13	12	$88.00	$12.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,082	331	$598.33	$103.59
62323 Injection of substance into lower spine canal using imaging guidance	93	68	$1389.00	$99.19
99213 Established patient office or other outpatient visit, typically 15 minutes	90	64	$405.64	$71.73
80305 Testing for presence of drug, read by direct observation	89	76	$295.00	$14.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	62	45	$267.00	$12.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$606.00	$107.60
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	39	15	$1278.85	$80.63
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	33	25	$1313.74	$121.43
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	33	25	$656.35	$69.99
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	28	21	$661.73	$71.20
J1030 Injection, methylprednisolone acetate, 40 mg	27	19	$13.00	$5.61
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	27	21	$1401.07	$116.33
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	18	$1021.00	$59.16
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	20	16	$3063.40	$290.30
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	20	14	$690.00	$52.24
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	12	12	$536.17	$99.42

Medical Specialties & State Licenses

CMS Verified: 2025-11-26

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License FL ME65837

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Pain Medicine - Pain Medicine

NUCC Taxonomy Code: 208VP0000X

State License FL ME0065837

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

374949500 (FL)

Hospital & Practice Group Affiliations

Greater Florida Anesthesiologists Llc

15440 Tangerine Dr, Loxahatchee, FL 334704838

Phone: 9549395000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Juan Medina , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003823725

Certified Registered Nurse Anesthetist

Maureen Block , CRNA

Nurse Anesthetist, Certified Registered

NPI 1215988597

Certified Registered Nurse Anesthetist

Dr. Kevin Chaitoff , MD

Anesthesiology - Pain Medicine

NPI 1265439459

Doctor of Medicine (M.D.)

Angela Gonzalez , PA-C

Physician Assistant - Medical

NPI 1265688899

Physician Assistant (Certified)

Fermal Simpson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1306898184

Certified Registered Nurse Anesthetist

Dr. John Cooney , MD

Anesthesiology - Pain Medicine

NPI 1548267065

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2011

Registered at 1500 N DIXIE HWY, STE 103, WEST PALM BEACH, FL 334012715 (Tel: 5618338893)

📍

Updated Business Mailing Address July 12, 2011

Registered at 5644 WHIRLAWAY RD, PALM BEACH GARDENS, FL 334187735 (Tel: 5616264605)

👤

Provider Name / Credentials Updated July 12, 2011

Recorded as SHELDON REGENBAUM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2011

Pain Medicine (License #ME0065837 in FL)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134126014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2005

Last Update: November 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5644 Whirlaway Rd

Palm Beach Gardens, FL 334187735

Phone: 5616264605

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.