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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

NPI Number 1497704985
LBN Legal business name TAKE SHAPE SURGERY CENTER LLC
Authorized official RUSSELL SASSANI - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # FL1224
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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