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  5. INTERCOASTAL MEDICAL GROUP, INC.

INTERCOASTAL MEDICAL GROUP, INC.

Company Details

Entity Name: INTERCOASTAL MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Sep 1997 (27 years ago)
Document Number: P97000086126
FEI/EIN Number 650784345
Address: 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232, US
Mail Address: 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232, US
ZIP code: 34232
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306516208 2021-09-14 2021-09-14 943 S BENEVA RD STE 306, SARASOTA, FL, 342322473, US 11715 RANGELAND PKWY, BRADENTON, FL, 342119529, US

Contacts
Phone +1 941-955-1108
Fax 9419544440
Phone +1 941-538-0001

Authorized person
Name JOHN M STEELE
Role PRESIDENT
Phone 9419535213

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
SIMON GEOFFREY G Agent 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232

President

Name Role Address
STEELE JOHN M President 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232

Vice President

Name Role Address
CREEVY JOSPEH J Vice President 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232
CONCHA MAURICIO Vice President 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232
Powell Randy M Vice President 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232

Treasurer

Name Role Address
RAMOS MARK Treasurer 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232

Secretary

Name Role Address
RABINS SY Secretary 943 S. BENEVA RD, SUITE 306, SARASOTA, FL, 34232

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000095958 INTERCOASTAL PODIATRY GROUP ACTIVE 2022-08-16 2027-12-31 No data 943 S BENEVA RD, SUITE 306, SARASOTA, FL, 34232
G20000002894 INTERCOASTAL HEMATOLOGY ONCOLOGY ACTIVE 2020-01-07 2025-12-31 No data 943 S. BENEVA ROAD, SUITE 306, SARASOTA, FL, 34232
G18000111696 INTERCOASTAL ENDOCRINOLOGY ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111691 INTERCOASTAL DERMATOLOGY GROUP ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111699 INTERCOASTAL ENT ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111702 INTERCOASTAL GASTROENTEROLOGY GROUP ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111706 INTERCOASTAL GYNECOLOGY ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111708 INTERCOASTAL ORTHOPEDIC GROUP ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111711 INTERCOASTAL PODIATRY EXPIRED 2018-10-15 2023-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232
G18000111715 INTERCOASTAL RHEUMATOLOGY GROUP ACTIVE 2018-10-15 2028-12-31 No data 943 S. BENEVA RD., SUITE 306, SARASOTA, FL, 34232

Related by officers

STEELE JOHN M

POTTERS TEA EMPORIUM, INC. INDEPENDENT PHYSICIANS ASSOCIATION OF SARASOTA, P.A. INDEPENDENT PHYSICIANS ASSOCIATION OF SARASOTA, LTD. AESCULAPIAN MANAGEMENT COMPANY, LLC MOTO JET SPORTS CENTER, INC. AUSTIN MACKENZIE LLC LANDMARK FINANCIAL HOLDING COMPANY ASSOCIATED PHYSICIANS OF SARASOTA, P.A.

RAMOS MARK

PRODUCTS INFORMATION ENTERPRISES, INC.

RABINS SY

HUMANITARIAN AIR TRANSPORT SERVICES, INC. MAX'S TAKE-OUT, INC.

SIMON GEOFFREY G

AESCULAPIAN SURGERY CENTER, LLC AESCULAPIAN MANAGEMENT COMPANY, LLC AUSTIN MACKENZIE LLC

Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Florida Department of State

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