Individual
CHRISTOPHER T SOPRENUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9846 US HIGHWAY 441, LEESBURG, FL 34788-3910
(352) 728-1886
(352) 728-1024
Mailing address
9846 US HIGHWAY 441, LEESBURG, FL 34788-3910
(352) 728-1886
(352) 728-1024
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME #50490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04430
BLUE CROSS/BLUE SHIELD
FL
05
—
258999100
—
FL
01
—
P00073542
RAILROAD MEDICARE
FL
Enumeration date
10/03/2005
Last updated
07/29/2007
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