Individual
SOPAGNA KHEANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-1941
Mailing address
1660 SUMMERLAND AVE, WINTER PARK, FL 32789-1466
(904) 327-8681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME122694
FL
Other
Enumeration date
04/09/2012
Last updated
03/17/2018
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