Healthcare Provider Details

I. General information

NPI: 1083047260
Provider Name (Legal Business Name): ANGELO M. ASHEH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2013
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 EAST AVE
WEST PALM BEACH FL
33407-2374
US

IV. Provider business mailing address

933 45TH STREET
WEST PALM BEACH FL
33407
US

V. Phone/Fax

Practice location:
  • Phone: 214-817-4939
  • Fax:
Mailing address:
  • Phone: 203-213-5130
  • Fax: 210-634-3961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number19123
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number19123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: