# LITTLE PINE PEDIATRICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043661994
- **Authorized official:** DR. RONALD EMERICK JR. D.O. (OWNER)
- **Authorized official phone:** (855) 577-5437

## Contact information

- **Practice address:** 15551 NW US HIGHWAY 441 UNIT 40, ALACHUA, FL 32615-9330
- **Practice address phone:** (386) 518-0102
- **Practice address fax:** (386) 518-0116
- **Mailing address:** 1702 S JEFFERSON ST, PERRY, FL 32348-5611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | OS9746 | FL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 03/03/2021
