Organization
MEDICAL REHABILITATION SPECIALISTS II INC
Active
Organization
MEDICAL REHABILITATION SPECIALISTS II INC
Active
Other names
Injury Care Clinic of Tallahassee
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK J MAURO (MEDICAL DIRECTOR)
(850) 402-0200
Entity
Organization
Contact information
Practice address
1803 MICCOSUKEE COMMONS DR STE202, TALAHASSEE, FL 32308
(850) 402-0200
(850) 402-0564
Mailing address
PO BOX 12578, TALAHASSEE, FL 32317-2578
(850) 402-0200
(850) 402-0564
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
HCC5556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9124
BCBS
FL
Enumeration date
11/07/2006
Last updated
08/22/2020
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