Soussou, Issam D
Soussou, Issam D is an individual health care provider with primary practice located at 3333 Cattlemen Rd Suite 206, Sarasota FL 34232-6056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Soussou, Issam D can be contacted via phone (941) 341-0042.Contact Information
Primary practice address
3333 Cattlemen Rd Suite 206
Sarasota FL 34232-6056
Phone: (941) 341-0042
Fax: (941) 342-3432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME35636 | Florida |
Profile Details
| NPI number | 1104884584 |
|---|---|
| LBN Legal business name | Soussou, Issam D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | May 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104884584 | NPPES |
| Florida | MEDICAID | 38756800 |
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