Organization
DELLA FORMA SURGICAL LLC
Active
Parent organization
DELLA FORMA SURGICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELLA FORMA SURGICAL LLC
Authorized official
DR. CARISSA L PATETE M.D. (OWNER)
(941) 587-7783
Entity
Organization
Contact information
Practice address
213 PALERMO PL, VENICE, FL 34285-2821
(941) 485-7783
(941) 484-9188
Mailing address
213 PALERMO PL, VENICE, FL 34285-2821
(941) 485-7783
(941) 484-9188
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
05/04/2026
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