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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