Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Charles S Theofilos MD

Non-Pharmacy Dispensing Site in Palm Beach Gardens, FL · enumerated 2006 · authorized official Direndia Shackelford, Managed Care Spec Allscripts.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760408611

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Charles S Theofilos MD

Practice address The Spine Center, 11621 Kew Gardens Ave Ste 101, Palm Beach Gardens, FL, 33410

Phone (561) 630-3870

Fax (561) 630-3680

Enumeration date Jul 14, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License ME64328 (FL) Primary

Authorized official

Name Direndia Shackelford

Title Managed Care Spec Allscripts

Phone (800) 654-0889

Other identifiers

Identifier	Type	State	Issuer
1014276	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Charles S Theofilos MD located?

The practice location on file with NPPES is in Palm Beach Gardens, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.