Provider Demographics
NPI:1780623892
Name:ASHTON, OWEN THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:OWEN
Middle Name:THOMAS
Last Name:ASHTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 US HIGHWAY 1 STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4423
Mailing Address - Country:US
Mailing Address - Phone:561-630-6800
Mailing Address - Fax:561-630-8824
Practice Address - Street 1:760 US HIGHWAY 1 STE 203
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4423
Practice Address - Country:US
Practice Address - Phone:561-630-6800
Practice Address - Fax:561-630-8824
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45469174400000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL94395AMedicare ID - Type Unspecified