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Contact Information

TAKE SHAPE SURGERY CENTER LLC
4161 NW 5TH ST
SUITE 100
PLANTATION, FL33317
 Phone: 954-585-3800
 Fax: 954-585-6100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TAKE SHAPE SURGERY CENTER LLC · (Female)

NPI # 1497704985
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # FL1224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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