The Spine Center

LBN: Charles S. Theofilos Md Pa
The Spine Center is an health care organization with primary practice located at 300 Village Square Xing Ste 202 , Palm Beach Gardens FL 33410-3223. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Charles S. Theofilos Md Pa can be contacted via phone (561) 630-3870, or through Theofilos, Charles S via phone (561) 630-3870.

Contact Information

Primary practice address
300 Village Square Xing Ste 202 Palm Beach Gardens FL 33410-3223
Phone: (561) 630-3870
Fax: (561) 630-3680
Website:
Map and Directions
Authorized official contact:
Name: Theofilos, Charles S
Phone: (561) 630-3870

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X XXXXXXXXXXXXXXXX Florida

Profile Details

NPI number 1841242823
LBN Legal business name Charles S. Theofilos Md Pa
DBA Doing business as The Spine Center
Authorized official Theofilos, Charles S
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Apr 28th, 2021 - about 5 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 1841242823 NPPES
Florida Other 23144 INDIVIDUAL MEDICARE NUMBE
Florida MEDICAID 373280100 INDIVIDUAL MEDICARE NUMBE

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