CHARLES S. THEOFILOS MD PA
Medical Practice at Kew Gardens Ave, West Palm Beach, FL

License number
Florida XXXXXXXXXXXXXXXX
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: DR. CHARLES S THEOFILOS MD
Title: PRESIDENT OWNER
Phone: (561) 630-3870
Address
Address
11621 Kew Gardens Ave SUITE 101, West Palm Beach, FL 33410
National Provider ID: 1841242823
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Charles S. Theofilos, M.D., PA

11621 Kew Gdn Ave, West Palm Beach, FL 33410

Industry:
Medical Doctor's Office
Registration:
Aug 11, 1994
Phone:
(561) 630-3870 (Phone)
State ID:
P94000060188
Business type:
Domestic for Profit Corporation
President, Secretary, Director:
Charles S. Theofilos (President, Secretary, Director)

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