Charles S Theofilos MD
Charles S Theofilos MD is a Non-Pharmacy Dispensing Site in Palm Beach Gardens, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Partly verified
The Spine Center 11621 Kew Gardens Ave Ste 101Palm Beach Gardens, FL 33410
Phone: (561) 630-3870
Fax: (561) 630-3680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence ME64328 (FL) |
|---|
Record details
| NPI number | 1760408611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Direndia Shackelford — Managed Care Spec Allscripts · (800) 654-0889 |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens, FL 33410 |
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