Graduated: 2013
NPI: 1952735219
Practice Locations (3)
INTERCOASTAL MEDICAL GROUP INC
11505 RANGELAND PKWY
BRADENTON, FL 342114041
9419076016
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
8429 TUTTLE AVE
SARASOTA, FL 342432868
9414131550
SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
8429 TUTTLE AVE, 234 236
SARASOTA, FL 342432868
9414131550
Source: CMS National Downloadable File, September 2026.