Graduated: 2022
NPI: 1386350106
Practice Locations (6)
INTERCOASTAL MEDICAL GROUP INC
11505 RANGELAND PKWY
BRADENTON, FL 342114041
9419076016
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
8429 TUTTLE AVE, 234 236
SARASOTA, FL 342432868
9414131550
INTERCOASTAL MEDICAL GROUP INC
921 S BENEVA RD
SARASOTA, FL 342322401
9413657390
INTERCOASTAL MEDICAL GROUP INC
943 S BENEVA RD, FL 1
SARASOTA, FL 342322476
9419556748
INTERCOASTAL MEDICAL GROUP INC
943 S BENEVA RD, SUITE 113
SARASOTA, FL 342322471
9413160133
INTERCOASTAL MEDICAL GROUP INC
965 S BENEVA RD
SARASOTA, FL 342322401
9413661888
Source: CMS National Downloadable File, September 2026.