Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Issa F Baroudi MD PA

Organization Plastic Surgery Physician · NPI 1336426295

Issa F Baroudi MD PA is a Plastic Surgery Physician in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3222 Tamiami Trl
Port Charlotte, FL 33952-8048
Phone: (941) 627-5155
Fax: (941) 629-5317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME38318 (FL)

Record details

NPI number1336426295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Issa Baroudi — President · (941) 627-5155
NPI enumeratedNovember 7, 2011
Last updated in NPPESApril 29, 2013
Mailing address3222 Tamiami Trl, Port Charlotte, FL 33952-8048

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