Individual
MACKENZIE BAKKER GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15155 SW 97TH AVE STE 200, MIAMI, FL 33176-0049
(804) 922-2629
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 827-1204
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
168646
FL
Other
Enumeration date
05/17/2018
Last updated
07/06/2024
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