Individual
DR. CHARLES S THEOFILOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
300 VILLAGE SQUARE XING STE 202, PALM BEACH GARDENS, FL 33410-3223
(561) 630-3870
(561) 630-3680
Mailing address
300 VILLAGE SQUARE XING STE 202, PALM BEACH GARDENS, FL 33410-3223
(561) 630-3870
(561) 630-3680
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0064328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373280100
—
FL
Enumeration date
05/17/2006
Last updated
06/18/2021
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