Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thoracic Innovation, LLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1326335548

Thoracic Innovation, LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Davie, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15053 SW 40th St
Davie, FL 33331-2769
Phone: (340) 772-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence ME106359 (FL)

Record details

NPI number1326335548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moses Degraft-Johnson — Physician/Owner · (340) 772-2000
NPI enumeratedJuly 8, 2011
Last updated in NPPESJuly 21, 2011
Mailing address15053 Sw 40th St, Davie, FL 33331-2769