| Entity Name: | THORACIC INNOVATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Jun 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L11000075403 |
| Address: | 15053 S.W. 40TH STREET, DAVIE, FL 33331 |
| Mail Address: | 15053 S.W. 40TH STREET, DAVIE, FL 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326335548 | 2011-07-08 | 2011-07-21 | 15053 SW 40TH ST, DAVIE, FL, 333312769, US | 15053 SW 40TH ST, DAVIE, FL, 333312769, US | |||||||||||||||
|
|||||||||||||||||||
| Name | MOSES DEGRAFT-JOHNSON |
| Role | PHYSICIAN/OWNER |
| Phone | 3407722000 |
Taxonomy
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME106359 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLORIDA FILING & SEARCH SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| OVERHAUL M.D LLC | Managing Member | No data |
| DEGRAFT-JOHNSON, MOSES | Managing Member | 15053 S.W. 40TH STREET, DAVIE, FL 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2011-06-29 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
