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Organization

LITTLE PINE PEDIATRICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD EMERICK JR. D.O. (OWNER)
(855) 577-5437
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS9746
FL
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208000000X
TAXONOMY
FL
01
261QR1300X
RURAL HEALTH TAXONOMY
FL
Enumeration date
06/22/2016
Last updated
03/03/2021
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