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Little Pine Pediatrics Pllc
Rural Health Clinic/Center in Madison, Florida
NPI 1497007553

Little Pine Pediatrics Pllc is a Rural Health Clinic/Center based in Perry, FL and is specialized in Rural Health. Little Pine Pediatrics Pllc practices in Madison, FL. The NPI Number for Little Pine Pediatrics Pllc is 1497007553 and holds a License No. HCC10208 (Florida).

The current practice location address for Little Pine Pediatrics Pllc is 194 Ne Hancock Ave, Madison, FL and can be reached out via phone at 850-253-2275.

Location: 194 Ne Hancock Ave, Madison, FL, 32348-5611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497007553
Provider Name
Little Pine Pediatrics Pllc
Credential
Provider Entity Type
Organization
Address
194 Ne Hancock Ave, Madison, FL, 32348-5611
Phone Number
850-253-2275
Fax Number
Provider Enumeration Date
10/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001165802 05 FL
institution
Provider Business Practice Location Address Details
Address
194 Ne Hancock Ave
City
Madison
State
Florida
Zip
32340-2546
Phone Number
850-253-2275
Fax Number
person
Provider Business Mailing Address Details
Address
194 Ne Hancock Ave
City
Madison
State
Florida
Zip
32340-2546
Phone Number
850-253-2275
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
HCC10208 (Florida)
Definition
Definition to come...
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