Organization
LITTLE PINE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY STROUD (PRACTICE MANAGER)
(855) 577-5437
Entity
Organization
Contact information
Practice address
205 N MULBERRY ST, MONTICELLO, FL 32344-1423
(850) 997-7337
(850) 997-7338
Mailing address
1702 S JEFFERSON ST, PERRY, FL 32348-5611
(855) 577-5437
(850) 838-2140
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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