Provider Demographics
NPI:1417976457
Name:THE, ANGELINA S (MD)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:S
Last Name:THE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6282 LINTON BLVD
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6416
Mailing Address - Country:US
Mailing Address - Phone:561-955-6400
Mailing Address - Fax:561-955-6618
Practice Address - Street 1:6282 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6416
Practice Address - Country:US
Practice Address - Phone:561-955-6400
Practice Address - Fax:561-955-6618
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99523207RH0003X
FL99523207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology