Organization · Type 2 NPI
Charles S Theofilos MD
Non-Pharmacy Dispensing Site · Palm Beach Gardens, FL
NPI number
1760408611
Active
Practice location
The Spine Center, 11621 Kew Gardens Ave Ste 101
Palm Beach Gardens, FL 33410
Fax (561) 630-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | ME64328 (FL) |
Non-Pharmacy Dispensing Site: 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.)
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About NPI 1760408611
Charles S Theofilos MD's National Provider Identifier is 1760408611, issued on Jul 14, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Aug 22, 2020.