Theofilos, Charles S

Theofilos, Charles S is an individual health care provider with primary practice located at 300 Village Square Xing Ste 202 , Palm Beach Gardens FL 33410-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Theofilos, Charles S can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME0064328 Florida

Profile Details

NPI number 1861444846
LBN Legal business name Theofilos, Charles S
Credentials M.D. P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861444846 NPPES
Florida MEDICAID 373280100

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