Healthcare Provider Details

I. General information

NPI: 1003725243
Provider Name (Legal Business Name): PERFECT PATTY'S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6702 NW 52ND TER
GAINESVILLE FL
32653-3370
US

IV. Provider business mailing address

6702 NW 52ND TER
GAINESVILLE FL
32653-3370
US

V. Phone/Fax

Practice location:
  • Phone: 352-301-2781
  • Fax:
Mailing address:
  • Phone: 352-301-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTOINE BRYANT
Title or Position: OWNER
Credential:
Phone: 352-301-2781