Organization Active NPI

Della Forma Surgical LLC

  • Plastic Surgery Physician
  • Venice, FL
National Provider Identifier
1184560567
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DELLA FORMA SURGICAL LLC
Practice address
213 Palermo PL
Venice, FL 34285-2821
Phone
(941) 485-7783
Fax
(941) 484-9188
NPI assigned
Apr 27, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DELLA FORMA SURGICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carissa L Patete, M.D.NPI 1932738911
Title
Owner
Phone
(941) 587-7783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

213 Palermo PL
Venice, FL 34285-2821

Mailing address

213 Palermo PL
Venice, FL 34285-2821
Phone (941) 485-7783

National Provider Directory

National Provider Directory
Part of
Della Forma Surgical LLC

Locations

213 Palermo Pl
Venice, FL 34285
Phone (941) 485-7783

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1184560567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852821",
            "telephone_number": "941-485-7783",
            "fax_number": "941-484-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852821",
            "telephone_number": "941-485-7783",
            "fax_number": "941-484-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLA FORMA SURGICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELLA FORMA SURGICAL LLC",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "PATETE",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-587-7783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.