Issam D Soussou
Vascular Surgeon
3333 Cattlemen Rd Suite 206
Sarasota
, Florida 34232-6056
Issam D Soussou
Vascular Surgeon
3333 Cattlemen Rd Suite 206
Sarasota
, Florida 34232-6056
(941) 342-3432
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Issam D Soussou
- 3333 Cattlemen Rd Suite 206
- Sarasota, FL
- Zip : 34232-6056
- Fax : (941) 342-3432
- Phone : (941) 341-0042
Second Address
- Issam D Soussou
- 3333 Cattlemen Rd Suite 206
- Sarasota, FL
- Zip : 34232-6056
- Fax : (941) 342-3432
- Phone : (941) 341-0042
Reviews
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What type of doctor is Issam D Soussou
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What is Issam D Soussou ’s gender?
Is Issam D Soussou a sole practitioner?
Is Issam D Soussou accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | ME35636 | FL |
National Provider Identifier
| NPI | 1104884584 |
|---|---|
| Provider Name | Issam D Soussou |
| First Address | Sarasota, FL 34232-6056 |
| Second Address | Sarasota, FL 34232-6056 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 07/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38756800 | (05) | FL |
| D58818 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.