Organization
KHROM MEDSPA & WELLNESS FL PA
Active
Organization
KHROM MEDSPA & WELLNESS FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA KHROM MD (PRESIDENT)
(954) 688-9677
Entity
Organization
Contact information
Practice address
12462 W ATLANTIC BLVD STE 1, CORAL SPRINGS, FL 33071-4086
(954) 688-9677
(754) 704-7285
Mailing address
12462 W ATLANTIC BLVD STE 1, CORAL SPRINGS, FL 33071-4086
(954) 688-9677
(754) 704-7285
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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