INTERCOASTAL MEDICAL GROUP INC NPI 1578537767

NPI Information

NPI: 1578537767
Provider Name: INTERCOASTAL MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
943 S BENEVA RD STE 306
SARASOTA, FL
ZIP 34232
Phone: (941) 955-1108
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INTERCOASTAL MEDICAL GROUP INC is a family medicine in Sarasota, FL. The provider is 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. INTERCOASTAL MEDICAL GROUP INC NPI is 1578537767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

943 S BENEVA RD STE 306
SARASOTA, FL
ZIP 34232-499
Phone: (941) 955-1108
Fax: (941) 954-4440

The provider's authorized official is John M Steele .
The authorized official title is President and has the following contact phone number (941) 955-1108.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 4/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RR0500X	Internal Medicine	Rheumatology	No
2	207N00000X	Dermatology		No
3	207R00000X	Internal Medicine		No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RG0100X	Internal Medicine	Gastroenterology	No
7	207VG0400X	Obstetrics & Gynecology	Gynecology	No
8	207X00000X	Orthopaedic Surgery		No
9	207XS0114X	Orthopaedic Surgery	Adult Reconstructive Orthopaedic Surgery	No
10	207Y00000X	Otolaryngology		No
11	2084N0400X	Psychiatry & Neurology	Neurology	No
12	208600000X	Surgery		No
13	208C00000X	Colon & Rectal Surgery		No
14	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
15	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24374	OTHER	FLORIDA	BLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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