Wongkittiroch, Khongruk
Wongkittiroch, Khongruk is an individual health care provider with primary practice located at 2838 E Oakland Park Blvd Ste 201, Fort Lauderdale FL 33306-1814. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Wongkittiroch, Khongruk can be contacted via phone (954) 564-0040.Contact Information
Primary practice address
2838 E Oakland Park Blvd Ste 201
Fort Lauderdale FL 33306-1814
Phone: (954) 564-0040
Fax: (954) 564-0048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS11792 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | OS11792 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | OS11792 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | OS11792 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | OS11792 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | OS11792 | Florida |
Profile Details
| NPI number | 1205003068 |
|---|---|
| LBN Legal business name | Wongkittiroch, Khongruk |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2008 |
| Last updated | Dec 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205003068 | NPPES |
| Florida | Other | 28528 | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Florida | Other | 261637814 | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Florida | Other | 317129 | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Florida | Other | 261637814 | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Florida | Other | 6375863 | BLUE CROSS BLUE SHIELD OF FLORIDA |
Popular Providers
-
Friedberg, Helene
5100 N Federal Hwy Ste 200B, Fort Lauderdale FL 33308-3886 -
Green, Jason
5721 Ne 27Th Ave , Fort Lauderdale FL 33308-2703 -
Weber, Paul J
5353 North Federal Hwy Ste 400, Fort Lauderdale FL 33308 -
Charlie, Nelson
1800 Se 10Th Ave Suite 305, Fort Lauderdale FL 33316-2901 -
Elias, Matthew J
4610 N Federal Hwy , Fort Lauderdale FL 33308-5206 -
Soro, Luis Alberto
350 E Las Olas Blvd Suite 110, Fort Lauderdale FL 33301-4211 -
Elias, Merrick David
4610 N Federal Hwy , Fort Lauderdale FL 33308-5206 -
Richardson, Willie Forrest
1120 Bayview Dr , Fort Lauderdale FL 33304-2505