# ROMAN B. KLOS MD,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083967517
- **Authorized official:** DR. ROMAN B KLOS MD (PRESIDENT)
- **Authorized official phone:** (954) 776-9899

## Contact information

- **Practice address:** 2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
- **Practice address phone:** (954) 776-9899
- **Mailing address:** 2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
- **Mailing address phone:** (954) 776-9899
- **Mailing address fax:** (954) 351-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME 62266 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 02/02/2022