Organization
TAKE SHAPE PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL F SASSANI MD (OWNER)
(954) 585-3800
Entity
Organization
Contact information
Practice address
4161 NW 5TH ST, SUITE 100, PLANTATION, FL 33317-2101
(954) 585-3800
(954) 585-6100
Mailing address
4161 NW 5TH ST, SUITE 100, PLANTATION, FL 33317-2101
(954) 585-3800
(954) 585-6100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
07/11/2007
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