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General Information

  • Michael David Soronen, M.D.
  • Name:
  • Therapeutic Radiology
  • Primary Specialty:

Address Information

  • 505 Ocean Forest Drive
  • Mailing Address:
  • Address 2:
  • Saint Augustine, FL 32080
  • City/State/Zip:
  • (904) 471-3215
  • Phone:

  • Fax:

License Information

  • R-4717
  • License Number:
  • 05/11/2012
  • Original Issue Date:
  • 06/30/2013
  • Expiration Date:
  • Reciprocity
  • Basis:
  • Active
  • License Status:
  • Unlimited
  • License Category:
  • T2012-024
  • License Number:
  • 05/02/2012
  • Original Issue Date:
  • 06/08/2012
  • Expiration Date:
  • Exam
  • Basis:
  • Inactive
  • License Status:
  • Temporary
  • License Category:

THIS IS NOT AN OFFICIAL LICENSE VERIFICATION