# MEDICAL REHABILITATION SPECIALIST III INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Injury Care Clinic of Tallahassee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649422494
- **Authorized official:** DR. KIRK JOSEPH MAURO M.D. (OWNER/DIRECTOR)
- **Authorized official phone:** (850) 402-0200

## Contact information

- **Practice address:** 2648 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
- **Practice address phone:** (850) 402-0200
- **Practice address fax:** (850) 402-0564
- **Mailing address:** PO BOX 12578, TALLAHASSEE, FL 32317-2578
- **Mailing address phone:** (850) 402-0200
- **Mailing address fax:** (850) 402-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 02/04/2015