THORACIC INNOVATION, LLC
Radiology at 40 St, Hollywood, FL

License number
Florida ME106359
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: MOSES DEGRAFT-JOHNSON M.D.
Title: PHYSICIAN/OWNER
Phone: (340) 772-2000
Address
Address
15053 SW 40Th St, Hollywood, FL 33331
National Provider ID: 1326335548
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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