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1548526007
SOPAGNA KHEANG
ORLANDO, FL
NPI
1548526007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME122694)
Enumeration Date
2012-04-09
Last Update Date
2018-03-17
Business Address
SOPAGNA KHEANG M.D.
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-1941
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Mailing Address
SOPAGNA KHEANG M.D.
1660 SUMMERLAND AVE
WINTER PARK, FL 32789-1466
Phone number: 904-327-8681
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