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THORVASC PA
NPI 1831589803
Surgery - Vascular Surgery in Tallahassee, FL

Active since January 29, 2015
2623 CENTENNIAL BLVD, SUITE 102, TALLAHASSEE, FL 32308(850) 792-4722(850) 792-4727 Get Directions Write a Review

NPPES record last updated: May 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thorvasc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THORVASC PA (NPI 1831589803) is a healthcare organization registered as a vascular surgery in Tallahassee, Florida and active in the NPI registry since January 2015. The organization lists Moses Desmond Degraft-johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1831589803
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameTHORVASC PA
Location Address2623 CENTENNIAL BLVD, SUITE 102Tallahassee, FL 32308-0585
Mailing Address400 Capital Cir Se, Ste 18148Tallahassee, FL 32301-3802 · (850) 792-4722
Phone(850) 792-4722
Fax(850) 792-4727
Organization SubpartNo
Authorized OfficialMoses Desmond Degraft-johnsonOwner · (305) 301-8283
Enumeration DateJanuary 29, 2015
Last NPPES UpdateMay 18, 2017
✔ NPI 1831589803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2623 CENTENNIAL BLVD, Tallahassee, FL 32308
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Other Identifiers 1

Medicare PINID379AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOSES DESMOND DEGRAFT-JOHNSON M.D.
Surgery (Vascular Surgery)
2623 CENTENNIAL BLVD, SUITE 102
TALLAHASSEE, FL 32308
Leon County (850) 792-4722
AMEDISYS FLORIDA, LLC
Home Health
2623 CENTENNIAL BLVD, SUITE 201
TALLAHASSEE, FL 32308
Leon County (850) 553-9201
DR. CLAIRE ZEKRY GEORGE BOTROS MD
Pediatrics
2623 CENTENNIAL BLVD, SUITE 103
TALLAHASSEE, FL 32308
Leon County (850) 877-6119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thorvasc PA's NPI number?

The NPI number for Thorvasc PA is 1831589803. It was assigned to this organization in the NPPES registry on January 29, 2015.

Where is Thorvasc PA located?

Thorvasc PA is located at 2623 Centennial Blvd Suite 102, Tallahassee, FL 32308. The listed phone number is (850) 792-4722.

What is Thorvasc PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Thorvasc PA was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.