LITTLE PINE PEDIATRICS PLLC NPI 1497007553

NPI Information

NPI: 1497007553
Provider Name: LITTLE PINE PEDIATRICS PLLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: LITTLE PINE PEDIATRICS OF MADISON
Address: 194 NE HANCOCK AVE
MADISON, FL
ZIP 32340
Phone: (850) 253-2275

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NPI Details

LITTLE PINE PEDIATRICS PLLC is a rural health clinic center in Madison, FL. LITTLE PINE PEDIATRICS PLLC NPI is 1497007553. The provider is registered as an organization entity type.
The provider Is Doing Business As Little Pine Pediatrics Of Madison.

The provider's business location address is:

194 NE HANCOCK AVE
MADISON, FL
ZIP 32340-546
Phone: (850) 253-2275

The provider's authorized official is Ronald Emerick .
The authorized official title is Owner and has the following contact phone number (855) 577-5437.

The enumeration date for this NPI number is 10/12/2012 and was last updated on 2/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	HCC10208	FLORIDA	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001165802	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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