Graduated: 2005
Offers telehealth
NPI: 1790948073
Practice Locations (2)
INTERCOASTAL MEDICAL GROUP INC
11715 RANGELAND PKWY
BRADENTON, FL 342119529
9415380001
LEGACY HEALTHCARE SERVICES INC
17470 BROOKSIDE TRACE CT
TAMPA, FL 336476201
8134435042
Source: CMS National Downloadable File, September 2026.