LITTLE PINE PEDIATRICS PLLC NPI 1043661994

NPI Information

NPI: 1043661994
Provider Name: LITTLE PINE PEDIATRICS PLLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
CLIA Number: 10D1098341
Address: 15551 NW US HIGHWAY 441 UNIT 40
ALACHUA, FL
ZIP 32615
Phone: (386) 518-0102

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NPI Details

LITTLE PINE PEDIATRICS PLLC is a rural health clinic center in Alachua, FL. LITTLE PINE PEDIATRICS PLLC NPI is 1043661994. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15551 NW US HIGHWAY 441 UNIT 40
ALACHUA, FL
ZIP 32615-330
Phone: (386) 518-0102
Fax: (386) 518-0116

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 CLIA number assigned to this NPI record is 10D1098341 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2016 and was last updated on 3/3/2021.

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	208000000X	Pediatrics		OS9746	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	208000000X	OTHER	FLORIDA	TAXONOMY
2	261QR1300X	OTHER	FLORIDA	RURAL HEALTH TAXONOMY

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: 3/30/2025

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