Roman B. Klos MD,PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME 62266 Issued in FL

Legal business name

ROMAN B. KLOS MD,PA

Practice address

2800 E Commercial Blvd Ste 210
Fort Lauderdale, FL 33308-4228

Phone

(954) 776-9899

NPI assigned

Oct 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roman B Klos, MD

Title

President

Phone

(954) 776-9899

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1083967517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084228",
            "telephone_number": "954-776-9899",
            "fax_number": "954-351-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD STE 210",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084228",
            "telephone_number": "954-776-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN B. KLOS MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KLOS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME 62266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373093000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Roki, MD
• Kelly Melissa Roland, APRN
• Lashanta A Rolle, RN
• Ronald Romain, PHARM.D.
• Claudia Roman Acevedo
• Estheisy Violeta Roman Pagan
• Yadira Roman Santana
• Yadriana Roman Santana
• Carisia Roman, LCSW
• Claudio Roman III, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.