Healthcare Provider Details

I. General information

NPI: 1689509390
Provider Name (Legal Business Name): INTIMATE SPACES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 16TH CT APT E6
GAINESVILLE FL
32608-1508
US

IV. Provider business mailing address

4009 SW 37TH ST
GAINESVILLE FL
32608-2392
US

V. Phone/Fax

Practice location:
  • Phone: 352-284-3138
  • Fax:
Mailing address:
  • Phone: 352-284-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SCOTT HINDS-TARGET HINDS
Title or Position: OWNER
Credential:
Phone: 352-284-3138