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

Issam D Soussou, MD

Individual provider Vascular Surgery Physician · NPI 1104884584

Issam D Soussou, MD is a Vascular Surgery Physician in Sarasota, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3333 Cattlemen Rd Ste 206
Sarasota, FL 34232-6056
Phone: (941) 341-0042
Fax: (941) 342-3432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence ME35636 (FL)

Record details

NPI number1104884584
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020
Mailing address3333 Cattlemen Rd, Suite 206, Sarasota, FL 34232-6056

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