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Organization
INTERCOASTAL MEDICAL GROUP INC
Active
Organization
INTERCOASTAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J RAMOS (PRESIDENT)
(941) 955-1108
Entity
Organization
Contact information
Practice address
11715 RANGELAND PKWY, BRADENTON, FL 34211-9529
(941) 538-0001
Mailing address
943 S BENEVA RD STE 306, SARASOTA, FL 34232-2473
(941) 955-1108
(941) 954-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
04/08/2026
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