Charles S Theofilos Md
Non-pharmacy Dispensing Site
The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens
Florida, 33410
561-630-3870 561-630-3680
Charles S Theofilos Md is a Non-pharmacy Dispensing Site in Palm Beach Gardens, Florida. It is located at The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens and it's customer support contact number is 561-630-3870. The authorized person of Charles S Theofilos Md is Direndia Shackelford who is Managed Care Spec Allscripts of the pharmacy and his contact number is 800-654-0889. Active license number of Charles S Theofilos Md is ME64328 for Non-pharmacy Dispensing Site in Florida.
Charles S Theofilos Md is 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.)
Pharmacy Details:
Charles S Theofilos Md type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Charles S Theofilos Md |
| Type: | Non-pharmacy Dispensing Site |
| Location: | The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens,
Florida, 33410 |
| Phone: | 561-630-3870 |
| Fax: | 561-630-3680 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Direndia Shackelford |
| Position: | Managed Care Spec Allscripts |
| Contact Number: | 800-654-0889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1760408611 |
| NPI Enumeration Date: | 14 Jul, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles S Theofilos Md are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | ME64328 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1014276 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | The Spine Center, 11621 Kew Gardens Ave Ste 101
Palm Beach Gardens, Florida |
| Zip: | 33410 |
| Phone Number: | -- |
Patients can reach Charles S Theofilos Md at
The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens, Florida or can
call on customer care at 561-630-3870.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.