Charles Steven Theofilos (NPI# 1861444846, PAC ID# 5698764926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1861444846 |
| PAC ID by PECOS | 5698764926 |
| Professional Enrollment ID | I20110330000710 |
| Full Name | Charles Steven Theofilos |
| Organization Legal Name | CHARLES S THEOFILOS MD PA |
| Address |
11621 Kew Gardens Ave Suite 101 Palm Beach Gardens FL 33410-2853 |
| Phone Number | 5616303870 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 2860481181 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100253 | JUPITER MEDICAL CENTER |
| 100176 | PALM BEACH GARDENS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11621 Kew Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2853 | 5616303870 | CHARLES S THEOFILOS MD PA |
| 681 Sw Port St Lucie Blvd, Port St. Lucie, FL 34953-1998 | 7728075566 | CHARLES S THEOFILOS MD PA |
| Organization Legal Name | CHARLES S THEOFILOS MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayce I Reed | Physician Assistant | Charles S Theofilos Md Pa | 11621 Kew Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2853 |
| Street Address |
11621 KEW GARDENS AVE SUITE 101 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip | 33410-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayce I Reed | Physician Assistant | Charles S Theofilos Md Pa | 11621 Kew Gardens Ave, Suite 101, Palm Beach Gardens, FL 33410-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna G Arkin | Chiropractic | Bandd Chiropractic Partnership Inc. | 4043 Hood Rd, Palm Beach Gardens, FL 33410-2171 |
| Lisa Rollins-garcia | Psychologist, Clinical | 12300 Alternate, A1a Suite 108, Palm Beach Gardens, FL 33410-2206 | |
| Alyson Slater | Podiatry | Elite Stride Foot and Ankle Center Inc | 12300 Alt, A1a Suite 118, Palm Beach Gardens, FL 33410-2211 |
| Andrew H Smith | Chiropractic | 12300 Alt Aia, Suite 119, Palm Beach Gardens, FL 33410-2211 | |
| Danielle Lyn Rudoff-perez | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Ulises D Fernandez-miro | Anesthesiology | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Irina Petrovna Sobel | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Maureen A Bosco | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Steven G Cooper | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Mary E Kibart | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Find all physicians in zip 33410 | |||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
| Specialty | NEUROSURGERY |
| City + Specialty | PALM BEACH GARDENS + NEUROSURGERY |
Please comment or provide details below to improve the information on Charles Steven Theofilos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.