Active NPI
Four Lucky Kids, LLC
- Pediatric Critical Care Medicine Physician
- Winter Park, FL
National Provider Identifier
1497624779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- Legal business name
- FOUR LUCKY KIDS, LLC
- Practice address
- 1225 Raintree PL
Winter Park, FL 32789-2565 - Phone
- (407) 865-4074
- Fax
- (407) 812-9906
- NPI assigned
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William D Patten, MD
- Title
- Own/Physician
- Phone
- (407) 865-4075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | Primary |
Addresses
Primary practice location
1225 Raintree PL
Winter Park, FL 32789-2565
Mailing address
1225 Raintree PL
Winter Park, FL 32789-2565
Phone (407) 865-4075
Other names 1
- 4LK Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2330367 | 4LK Healthcare | Certificate of waiver | Sep 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Critical Care Medicine Physician
- Orlando, FL
- NPI 1639309420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1497624779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 RAINTREE PL",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892565",
"telephone_number": "407-865-4075",
"fax_number": "407-812-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 RAINTREE PL",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327892565",
"telephone_number": "407-865-4074",
"fax_number": "407-812-9906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR LUCKY KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "PATTEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWN/PHYSICIAN",
"authorized_official_telephone_number": "407-865-4075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "4LK Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.