Individual
MACKENZIE O'GRADY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 TAMPA GENERAL CIR STE 300, TAMPA, FL 33606-3578
(813) 251-0793
(813) 844-1988
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
APRN11037723
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11037723
FL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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