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1306516208
INTERCOASTAL MEDICAL GROUP INC
BRADENTON, FL
NPI
1306516208
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Entity Type
Organization
Authorized Contact
JOHN M STEELE
President
941-953-5213
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
INTERCOASTAL MEDICAL GROUP INC
11715 RANGELAND PKWY
BRADENTON, FL 34211-9529
Phone number: 941-538-0001
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Mailing Address
INTERCOASTAL MEDICAL GROUP INC
943 S BENEVA RD STE 306
SARASOTA, FL 34232-2473
Phone number: 941-955-1108
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