Dr Charles S Theofilos, MD PA | |
300 Village Square Xing Ste 202, Palm Beach Gardens, FL 33410-3223 | |
(561) 630-3870 | |
(561) 630-3680 |
Full Name | Dr Charles S Theofilos |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 300 Village Square Xing Ste 202, Palm Beach Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861444846 | NPI | - | NPPES |
373280100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | ME0064328 (Florida) | Primary |
Entity Name | Charles S Theofilos Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841242823 PECOS PAC ID: 2860481181 Enrollment ID: O20040511000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles S Theofilos, MD PA 300 Village Square Xing Ste 202, Palm Beach Gardens, FL 33410-3223 Ph: (561) 630-3870 | Dr Charles S Theofilos, MD PA 300 Village Square Xing Ste 202, Palm Beach Gardens, FL 33410-3223 Ph: (561) 630-3870 |
Dr. Robert Edward Decker, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 127 Olivera Way, Palm Beach Gardens, FL 33418 Phone: 561-694-2021 Fax: 516-354-8597 | |
Fred Cohen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3370 Burns Rd, Suite 200, Palm Beach Gardens, FL 33410 Phone: 561-627-7855 Fax: 561-627-5030 | |
Dr. Heldo Gomez Jr., MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4290 Professional Center Dr Ste 105, Palm Beach Gardens, FL 33410 Phone: 561-627-7855 Fax: 561-627-5030 |