LITTLE PINE PEDIATRICS PLLC NPI 1811447824

NPI Information

NPI: 1811447824
Provider Name: LITTLE PINE PEDIATRICS, PLLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 1702 S JEFFERSON ST
PERRY, FL
ZIP 32348
Phone: (855) 577-5437

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NPI Details

LITTLE PINE PEDIATRICS, PLLC is a primary care clinic center in Perry, FL. LITTLE PINE PEDIATRICS, PLLC NPI is 1811447824. The provider is registered as an organization entity type.

The provider's business location address is:

1702 S JEFFERSON ST
PERRY, FL
ZIP 32348-611
Phone: (855) 577-5437
Fax: (850) 838-2140

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

The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.

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			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	001165801	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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