Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intercoastal Medical Group Inc

Organization Family Medicine Physician · NPI 1306516208

Intercoastal Medical Group Inc provides Family Medicine Physician services in Bradenton, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone: (941) 538-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1306516208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Ramos — President · (941) 955-1108
NPI enumeratedSeptember 14, 2021
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address943 S Beneva Rd Ste 306, Sarasota, FL 34232-2473

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