# LITTLE PINE PEDIATRICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LITTLE PINE PEDIATRICS
- **Other names:** Little Pine Pediatrics of Madison
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497007553
- **Legal business name:** LITTLE PINE PEDIATRICS
- **Authorized official:** DR. RONALD EMERICK JR. DO (OWNER)
- **Authorized official phone:** (855) 577-5437

## Contact information

- **Practice address:** 194 NE HANCOCK AVE, MADISON, FL 32340-2546
- **Practice address phone:** (850) 253-2275
- **Mailing address:** 1702 S JEFFERSON ST, PERRY, FL 32348-5611
- **Mailing address phone:** (855) 577-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | HCC10208 | FL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 02/08/2016