Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHONGRUK WONGKITTIROCH, D.O.
ActiveKHONGRUK WONGKITTIROCH, D.O. is a Dermatology healthcare provider located in FORT LAUDERDALE, Florida. NPI 1205003068 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1205003068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2008 (18.074142393781 yrs)
- Last Updated
- Dec 18, 2014
- Licenses
-
OS11792 (FL)OS11792 (FL)OS11792 (FL)OS11792 (FL)OS11792 (FL)
Practice Information
- Address
-
2838 E OAKLAND PARK BLVDSTE 201FORT LAUDERDALE, FL, 333061814Browse FL providers · Browse ZIP 33306
- Phone
- 9545640040
- Fax
- 9545640048
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- 207NP0225X
Other Dermatology Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NELSON CHARLIE | M.D. | 1811998982 |
| JEROME R OBED | DO | 1720055585 |
| DR. MARK STEVEN BERNHARDT | M.D. | 1811922149 |
| DR. GREGORY L PEREZ | MD | 1548271976 |
| WILLIE FORREST RICHARDSON JR. | MD | 1043328230 |
| JASON GREEN | DO | 1427167261 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.