MEDICARE: AEGIS MEDICAL TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1710812805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEGIS MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	34057 SORREL MINT DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-7305
Country	:	US
Telephone Number	:	727-808-9360
Fax Number	:	727-808-9360

Provider Business Practice Location Address
First Line	:	34057 SORREL MINT DR
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-7305
Country	:	US
Telephone Number	:	727-808-9360
Fax Number	:	727-808-9360

Authorized Official
Title or Position	:	OWNER
Name	:	MS. IESHA CAMPBELL
Credential	:
Telephone Number	:	727-808-9360

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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