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

Intercoastal Medical Group Inc

Organization Family Medicine Physician · NPI 1306516208

Intercoastal Medical Group Inc is a Family Medicine Physician 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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