| Little Pine Pediatrics Pllc | |
|
15551 Nw Us Highway 441 Unit 40 Alachua FL 32615-9330 | |
| (386) 518-0102 | |
| Not Available |
| Full Name | Little Pine Pediatrics Pllc |
|---|---|
| Speciality | General Practice |
| Location | 15551 Nw Us Highway 441 Unit 40, Alachua, Florida |
| Authorized Official Name and Position | Kimberly Stroud (PRACTICE MANAGER) |
| Authorized Official Contact | 8555775437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Pine Pediatrics Pllc 1702 S Jefferson St Perry FL 32348-5611 Ph: (855) 577-5437 | Little Pine Pediatrics Pllc 15551 Nw Us Highway 441 Unit 40 Alachua FL 32615-9330 Ph: (386) 518-0102 |
| NPI Number | 1053084913 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053084913 | NPI | - | NPPES |
| 001165806 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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