Khongruk Wongkittiroch, DO
Khongruk Wongkittiroch, DO is a Micrographic Dermatologic Surgery (Mds) in Fort Lauderdale, Florida. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2008, 18 years ago. Practices with South Florida Surgical Specialists LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 18
- Trained at
- Midwestern University, Chicago College of Osteopathic Med
- Licensed in
- FL
- In the registry since
- 2008
- Specialties on file
- 6
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2838 E Oakland Park Blvd Ste 201Fort Lauderdale, FL 33306-1814
Phone: (954) 564-0040
Fax: (954) 564-0048
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence OS11792 (FL) |
|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence OS11792 (FL) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence OS11792 (FL) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence OS11792 (FL) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence OS11792 (FL) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence OS11792 (FL) |
Record details
| NPI number | 1205003068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 12, 2008 |
| Last updated in NPPES | December 18, 2014 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED |
| Graduated | 2008 (18 years in practice) |
| Group practice | South Florida Surgical Specialists Llc — 92 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Lauderdale
-
Robert Vanderleest, MD
800 E Broward Blvd Ste 507, Fort Lauderdale, FL 33301-2008 · (954) 763-4331
-
Dr. Miguel Villacorta, DO, MPH
800 E Broward Blvd Ste 103, Fort Lauderdale, FL 33301-2020 · (954) 463-5406
-
Paul J Weber, MD
5353 N Federal Hwy Ste 400, Fort Lauderdale, FL 33308 · (954) 489-9800
-
Eric Christopher Wilkerson, MD
2021 E Commercial Blvd Ste 301, Fort Lauderdale, FL 33308-3754 · (954) 546-3376