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ISSAM D SOUSSOU MD
NPI 1104884584
Surgery - Vascular Surgery in Sarasota, FL

Active since May 03, 2006
3333 CATTLEMEN RD, SUITE 206, SARASOTA, FL 34232(941) 341-0042(941) 342-3432 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2020, Sep 30, 2015 (2 updates tracked since 2015).

About Issam D Soussou Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISSAM D SOUSSOU MD (NPI 1104884584) is an individual vascular surgery provider in Sarasota, Florida, licensed in Florida (ME35636) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104884584
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameISSAM D SOUSSOUCredential: MD
Location Address3333 CATTLEMEN RD, SUITE 206Sarasota, FL 34232-6056
Mailing Address3333 Cattlemen Rd, Suite 206Sarasota, FL 34232-6056 · (941) 341-0042 · Fax (941) 342-3432
Phone(941) 341-0042
Fax(941) 342-3432
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1104884584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in FL · ME35636
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3333 CATTLEMEN RD, Sarasota, FL 34232
Open in Google Maps ↗

Other Identifiers 1

Medicaid38756800FL

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT G MARCANTONIO MD
Internal Medicine
3333 CATTLEMEN RD, SUITE 208
SARASOTA, FL 34232
Sarasota County (941) 379-5121
KATHRYN D HURVITZ PA
Physician Assistant
3333 CATTLEMEN RD, SUITE 210
SARASOTA, FL 34232
Sarasota County (941) 371-3337
IREN J POBER MD
Internal Medicine (Gastroenterology)
3333 CATTLEMEN RD, SUITE 204
SARASOTA, FL 34232
Sarasota County (941) 342-8892
BARRY BALDINI CRNA
Nurse Anesthetist, Certified Registered
3333 CATTLEMEN RD
SARASOTA, FL 34232
Sarasota County (941) 379-5884
RICHARD S MORSE MD
Internal Medicine (Gastroenterology)
3333 CATTLEMEN RD, SUITE 204
SARASOTA, FL 34232
Sarasota County (941) 342-8892
BONNIE L GABRIEL MD
Internal Medicine
3333 CATTLEMEN RD, SUITE 208
SARASOTA, FL 34232
Sarasota County (941) 379-5121
DR. DAVID T REICHEL M.D.
Internal Medicine
3333 CATTLEMEN RD, SUITE 210
SARASOTA, FL 34232
Sarasota County (941) 371-3337
RICHARD S DUCKWORTH MD
Internal Medicine
3333 CATTLEMEN RD, SUITE 210
SARASOTA, FL 34232
Sarasota County (941) 371-3337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Issam Soussou's NPI number?

The NPI number for Issam Soussou is 1104884584. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Issam Soussou located?

Issam Soussou practices at 3333 Cattlemen Rd Suite 206, Sarasota, FL 34232. The listed phone number is (941) 341-0042.

What is Issam Soussou's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Issam Soussou was last updated on May 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.