Individual
ISSAM D SOUSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 CATTLEMEN RD, SUITE 206, SARASOTA, FL 34232-6056
(941) 341-0042
(941) 342-3432
Mailing address
3333 CATTLEMEN RD, SUITE 206, SARASOTA, FL 34232-6056
(941) 341-0042
(941) 342-3432
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME35636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38756800
—
FL
Enumeration date
05/03/2006
Last updated
05/07/2020
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