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
DR. RONALD EMERICK D.O (OWNER/MEDICAL DIRECTOR)
(855) 577-5437
Entity
Organization
Contact information
Practice address
1702 S JEFFERSON ST, PERRY, FL 32348-5611
(855) 577-5437
(850) 838-2140
Mailing address
1702 S. JEFFERSON STREET, PERRY, FL 32348
(855) 577-5437
(850) 838-2140
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001165801
—
FL
Enumeration date
10/13/2016
Last updated
10/13/2016
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