Organization · Type 2 NPI

Intercoastal Medical Group Inc

Family Medicine Physician · Bradenton, FL

NPI number 1306516208 Active

Practice location

11715 Rangeland Pkwy
Bradenton, FL 34211-9529

Mailing address

943 S Beneva Rd Ste 306
Sarasota, FL 34232-2473

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21 other providers at this address

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About NPI 1306516208

Intercoastal Medical Group Inc's National Provider Identifier is 1306516208, issued on Sep 14, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bradenton, FL. The record was last updated on Apr 8, 2026.