Healthcare Provider Details

I. General information

NPI: 1336085737
Provider Name (Legal Business Name): INFINITY MED TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SEMINOLE PL
SATSUMA FL
32189-2948
US

IV. Provider business mailing address

104 SEMINOLE PL
SATSUMA FL
32189-2948
US

V. Phone/Fax

Practice location:
  • Phone: 407-509-7889
  • Fax:
Mailing address:
  • Phone:
  • 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: LESLIE NEGRON
Title or Position: OWNER
Credential:
Phone: 407-509-7889