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CHARLES S THEOFILOS MD
NPI 1760408611
Non-Pharmacy Dispensing Site in Palm Beach Gardens, FL

Active since July 14, 2006
THE SPINE CENTER, 11621 KEW GARDENS AVE STE 101, PALM BEACH GARDENS, FL 33410(561) 630-3870(561) 630-3680 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles S Theofilos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES S THEOFILOS MD (NPI 1760408611) is a healthcare organization registered as a non-pharmacy dispensing site in Palm Beach Gardens, Florida and active in the NPI registry since July 2006. The organization lists Direndia Shackelford, Managed Care Spec Allscripts, as its authorized official.

NPPES Registry Identity

NPI1760408611
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCHARLES S THEOFILOS MD
Location AddressTHE SPINE CENTER, 11621 KEW GARDENS AVE STE 101Palm Beach Gardens, FL 33410
Mailing AddressThe Spine Center, 11621 Kew Gardens Ave Ste 101Palm Beach Gardens, FL 33410
Phone(561) 630-3870
Fax(561) 630-3680
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Spec Allscripts · (800) 654-0889
Enumeration DateJuly 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760408611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME64328
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
THE SPINE CENTER, Palm Beach Gardens, FL 33410
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Other Identifiers 1

Other1014276Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles S Theofilos MD's NPI number?

The NPI number for Charles S Theofilos MD is 1760408611. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Charles S Theofilos MD located?

Charles S Theofilos MD is located at The Spine Center 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens, FL 33410. The listed phone number is (561) 630-3870.

What is Charles S Theofilos MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Charles S Theofilos MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.