Organization
LITTLE PINE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD EMERICK D.O (OWNER/MEDICAL DIRECTOR)
(850) 253-2275
Entity
Organization
Contact information
Practice address
194 NE HANCOCK AVE, MADISON, FL 32340-2546
(850) 253-2275
(850) 253-2280
Mailing address
194 NE HANCOCK AVE, MADISON, FL 32340-2546
(850) 253-2275
(850) 253-2280
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001165802
—
FL
Enumeration date
10/19/2016
Last updated
01/13/2017
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