Charles S Theofilos Md

LBN: Charles S Theofilos Md
Charles S Theofilos Md is an health care organization with primary practice located at The Spine Center 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens FL 33410. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Charles S Theofilos Md can be contacted via phone (561) 630-3870, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
The Spine Center 11621 Kew Gardens Ave Ste 101 Palm Beach Gardens FL 33410
Phone: (561) 630-3870
Fax: (561) 630-3680
Website:
Map and Directions
Authorized official contact:
Name: Shackelford, Direndia
Phone: (800) 654-0889

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME64328 Florida

Profile Details

NPI number 1760408611
LBN Legal business name Charles S Theofilos Md
DBA Doing business as
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760408611 NPPES
Other 1014276 OTHER ID NUMBER-COMMERCIAL NUMBER

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