Issam D Soussou MD

NPI 1104884584 - Surgery - 2086S0129X

NPI Details
NPI 1104884584
Gender Male
Enumeration Date 05/03/2006
Last Updated 09/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3333 CATTLEMEN RD
SUITE 206
SARASOTA FL, 34232-6056, US
Phone (941) 341-0042
Fax (941) 342-3432
Business Location
3333 CATTLEMEN RD
SUITE 206
SARASOTA FL, 34232-6056, US
Phone (941) 341-0042
Fax (941) 342-3432
Toxanomy
Taxonomy Code 2086S0129X
License State Florida
License Number ME35636
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According to our database, Issam D Soussou MD NPI is 1104884584, taxonomy code is 2086S0129X and license number is ME35636, license state is located at Florida. Issam D Soussou MD physically located at 3333 Cattlemen Rd, Sarasota FL, 34232-6056. NPI Number Issam D Soussou MD has the Individual type.

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1104884584 NPI number is provided on an as is basis without warranty of any kind. 1104884584 is maintained by the National Plan & Provider Enumeration System. The contents of Issam D Soussou MD are for informational purposes only.