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Export Provider Record NPI 1376784702
Little Pine Pediatrics, Pllc
Organization Subpart: NO
Active
NPI Number1376784702
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Rural Health
Provider Details
NPI1376784702
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-03-16
Last Updated2016-02-08
Authorized OfficialRonald Emerick
Owner
Phone: 8555775437
Mailing Address1702 S Jefferson St
Perry, FL 32348-5611
United States
Phone: (855) 577-5437 | Fax: (850) 838-2140
📍 View Map
Primary Practice Address1702 S Jefferson St
Perry, FL 32348-5611
United States
Phone: (855) 577-5437 | Fax: (850) 838-2140
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208000000X – PediatricsFLOS9746
Yes261QR1300X – Clinic/Center, Rural Health--
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About NPI 1376784702

Little Pine Pediatrics, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1376784702. The primary specialty listed is Clinic/Center, Rural Health. The organization is located in Perry, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376784702?

NPI 1376784702 belongs to Little Pine Pediatrics, Pllc, a Clinic/Center, Rural Health in Perry, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376784702 active?

The current status of NPI 1376784702 in the NPPES registry is Active. The record was last updated on 2016-02-08.

What specialty is NPI 1376784702?

NPI 1376784702 is classified under the taxonomy Clinic/Center, Rural Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376784702?

You can verify NPI 1376784702 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376784702?

The primary practice address on file for NPI 1376784702 is 1702 S Jefferson St, Perry, FL 32348-5611. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376784702 issued?

NPI 1376784702 was first issued (enumerated) on 2009-03-16. The NPPES record was last updated on 2016-02-08.

Practice Location Map

Little Pine Pediatrics, Pllc is located at 1702 S Jefferson St, Perry, FL. Use the map below to find directions or verify the practice location.

📍 1702 S Jefferson St, Perry, FL 32348-5611  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Little Pine Pediatrics, Pllc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376784702. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
PediatricsOS9746FL
Data Verified from CMS NPPES Last synced: 2026-08-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162