Healthcare Provider Details

I. General information

NPI: 1548199904
Provider Name (Legal Business Name): SANTRICE PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3608 ARCH ST
ORLANDO FL
32808-7408
US

IV. Provider business mailing address

3608 ARCH ST
ORLANDO FL
32808-7408
US

V. Phone/Fax

Practice location:
  • Phone: 407-491-9899
  • Fax:
Mailing address:
  • Phone: 407-491-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number1002
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number1002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: