# LITTLE PINE PEDIATRICS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316612492
- **Authorized official:** KIMBERLY STROUD (PRACTICE MANAGER)
- **Authorized official phone:** (855) 577-5437

## Contact information

- **Practice address:** 205 N MULBERRY ST, MONTICELLO, FL 32344-1423
- **Practice address phone:** (850) 997-7337
- **Practice address fax:** (850) 997-7338
- **Mailing address:** 1702 S JEFFERSON ST, PERRY, FL 32348-5611
- **Mailing address phone:** (855) 577-5437
- **Mailing address fax:** (850) 838-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 08/11/2021