Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Take Shape Plastic Surgery PA

Organization Plastic Surgery Physician · NPI 1972609816

Take Shape Plastic Surgery PA provides Plastic Surgery Physician services in Plantation, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4161 NW 5th St Ste 100
Plantation, FL 33317-2101 Not confirmed with CMS for 19 years — call before visiting
Phone: (954) 585-3800
Fax: (954) 585-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1972609816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Sassani — Owner · (954) 585-3800
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 11, 2007
Mailing address4161 Nw 5th St, Suite 100, Plantation, FL 33317-2101

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