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Khongruk Wongkittiroch, D.O.

Dermatology Physician in Fort Lauderdale, FL · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205003068

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Registry record

Entity type Individual (Type 1)
Name Khongruk Wongkittiroch
Credential D.O.
Sex Female
Practice address 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, FL, 33306
Phone (954) 564-0040
Fax (954) 564-0048
Enumeration date May 12, 2008
Last updated in NPPES Dec 18, 2014

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Primary
207NI0002X Clinical & Laboratory Dermatological Immunology Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Secondary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License OS11792 (FL) Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
28528 Other FL BLUE CROSS BLUE SHIELD OF FLORIDA
261637814 Other FL MULTI PLAN
317129 Other FL AVMED
261637814 Other FL UNITED HEALTHCARE
6375863 Other FL CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Khongruk Wongkittiroch?
Khongruk Wongkittiroch is registered in NPPES with the primary taxonomy of Dermatology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-18.