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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 MD (PRESIDENT)
(941) 955-1108
Entity
Organization
Contact information
Practice address
943 S BENEVA RD STE 306, SARASOTA, FL 34232-2499
(941) 955-1108
(941) 954-4440
Mailing address
943 S BENEVA RD STE 306, SARASOTA, FL 34232-2499
(941) 955-1108
(941) 954-4440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24374
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
02/14/2006
Last updated
03/10/2026
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