Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Issa F Baroudi MD PA

Organization Plastic Surgery Physician · NPI 1336426295

Issa F Baroudi MD PA provides Plastic Surgery Physician services 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 Not confirmed with CMS for 13 years — call before visiting
Phone: (941) 627-5155
Fax: (941) 629-5317
Show map & directions

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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