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Organization

LITTLE PINE PEDIATRICS PLLC

Active
Parent organization
LITTLE PINE PEDIATRICS, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LITTLE PINE PEDIATRICS, PLLC
Authorized official
RONALD EMERICK DO (OWNER)
(386) 518-0102
Entity
Organization

Contact information

Practice address
205 N MULBERRY ST, MONTICELLO, FL 32344-1423
(855) 577-5437
(850) 838-2140
Mailing address
1702 S JEFFERSON ST, PERRY, FL 32348-5611
(855) 577-5437
(850) 838-2140

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/17/2019
Last updated
04/17/2019
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