Organization
ISSA F BAROUDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISSA F BAROUDI MD (PRESIDENT)
(941) 627-5155
Entity
Organization
Contact information
Practice address
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8048
(941) 627-5155
(941) 629-5317
Mailing address
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8048
(941) 627-5155
(941) 629-5317
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME38318
FL
Other
Enumeration date
11/07/2011
Last updated
04/29/2013
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