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Organization

MEDICAL REHABILITATION SPECIALIST III INC

Active
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Organization

MEDICAL REHABILITATION SPECIALIST III INC

Active
Other names
Injury Care Clinic of Tallahassee
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIRK JOSEPH MAURO M.D. (OWNER/DIRECTOR)
(850) 402-0200
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
10/10/2008
Last updated
02/04/2015
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