| Intercoastal Medical Group Inc | |
|
11715 Rangeland Pkwy Bradenton FL 34211-9529 | |
| (941) 538-0001 | |
| Not Available |
| Full Name | Intercoastal Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11715 Rangeland Pkwy, Bradenton, Florida |
| Authorized Official Name and Position | John M Steele (PRESIDENT) |
| Authorized Official Contact | 9419535213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercoastal Medical Group Inc 943 S Beneva Rd Ste 306 Sarasota FL 34232-2473 Ph: (941) 955-1108 | Intercoastal Medical Group Inc 11715 Rangeland Pkwy Bradenton FL 34211-9529 Ph: (941) 538-0001 |
| NPI Number | 1306516208 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306516208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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