TAKE SHAPE SURGERY CENTER LLC
NPI 1497704985
Plastic Surgery in Plantation, FL

Active since May 10, 2006CLIA 10D1036668 · Waiver
4161 NW 5TH ST, SUITE 100, PLANTATION, FL 33317(954) 585-3800(954) 585-6100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Take Shape Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAKE SHAPE SURGERY CENTER LLC (NPI 1497704985) is a healthcare organization registered as a plastic surgery in Plantation, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Russell Frank Sassani, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1497704985
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTAKE SHAPE SURGERY CENTER LLC
Location Address4161 NW 5TH ST, SUITE 100Plantation, FL 33317
Mailing Address4161 Nw 5th St, Suite 100Plantation, FL 33317 · (954) 585-3800 · Fax (954) 585-6100
Fax(954) 585-6100
Organization SubpartNo
Authorized OfficialRussell Frank SassaniPresident Ceo · (954) 585-3800
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1497704985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in FL · FL1224
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4161 NW 5TH ST, Plantation, FL 33317

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1036668

Take Shape Surgery Center LLC · Plantation, FL
Active · expires Feb 7, 2027
CLIA Number10D1036668
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorRussell F. Sassani
Laboratory Phone(954) 585-3800
Laboratory LocationTake Shape Surgery Center LLC4161 NW 5th St Ste 100, Plantation, FL 33317
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
4161 NW 5TH ST, SUITE 100
PLANTATION, FL 33317
Anesthesiology
4161 NW 5TH ST, SUITE 100
PLANTATION, FL 33317
Plastic Surgery
4161 NW 5TH ST, SUITE 100
PLANTATION, FL 33317
Physician Assistant (Medical)
4161 NW 5TH ST, SUITE 100
PLANTATION, FL 33317
Plastic Surgery
4161 NW 5TH ST, SUITE 100
PLANTATION, FL 33317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Take Shape Surgery Center LLC's NPI number?

The NPI number for Take Shape Surgery Center LLC is 1497704985. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Take Shape Surgery Center LLC located?

Take Shape Surgery Center LLC is located at 4161 NW 5th St Suite 100, Plantation, FL 33317. The listed phone number is (954) 585-3800.

What is Take Shape Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Take Shape Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1036668) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Take Shape Surgery Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.