Organization
ROMAN B. KLOS MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN B KLOS MD (PRESIDENT)
(954) 776-9899
Entity
Organization
Contact information
Practice address
2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
(954) 776-9899
Mailing address
2800 E COMMERCIAL BLVD STE 210, FORT LAUDERDALE, FL 33308-4228
(954) 776-9899
(954) 351-1571
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME 62266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373093000
—
FL
Enumeration date
10/22/2012
Last updated
02/02/2022
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