Healthcare Provider Details

I. General information

NPI: 1174454847
Provider Name (Legal Business Name): INTEGRITY CARE MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11921 BAHIA VALLEY DR
RIVERVIEW FL
33579-9125
US

IV. Provider business mailing address

11232 BOYETTE RD # 1250
RIVERVIEW FL
33569-8009
US

V. Phone/Fax

Practice location:
  • Phone: 813-498-7683
  • Fax:
Mailing address:
  • Phone: 813-498-7683
  • 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: MS. SHARINA S BROWN
Title or Position: OWNER
Credential:
Phone: 813-498-7683