Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Taylor
    4. ›
  4. 32348
    5. ›
  5. LITTLE PINE PEDIATRICS PLLC

LITTLE PINE PEDIATRICS PLLC

Company Details

Entity Name: LITTLE PINE PEDIATRICS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Mar 2009 (16 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 31 Mar 2011 (14 years ago)
Document Number: L09000021150
FEI/EIN Number 264385452
Address: 1702 S JEFFERSON ST, PERRY, FL, 32348, US
Mail Address: 1702 S JEFFERSON ST, PERRY, FL, 32348, US
ZIP code: 32348
County: Taylor
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316612492 2021-08-11 2021-08-11 1702 S JEFFERSON ST, PERRY, FL, 323485611, US 205 N MULBERRY ST, MONTICELLO, FL, 323441423, US

Contacts
Phone +1 855-577-5437
Fax 8508382140
Phone +1 850-997-7337
Fax 8509977338

Authorized person
Name KIMBERLY STROUD
Role PRACTICE MANAGER
Phone 8555775437

Taxonomy
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2023 264385452 2024-10-04 LITTLE PINE PEDIATRICS, PLLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2024-10-04
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2022 264385452 2023-06-22 LITTLE PINE PEDIATRICS, PLLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2021 264385452 2022-10-01 LITTLE PINE PEDIATRICS, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2022-10-01
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2020 264385452 2021-09-23 LITTLE PINE PEDIATRICS, PLLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2019 264385452 2020-07-09 LITTLE PINE PEDIATRICS, PLLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2020-07-09
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2018 264385452 2019-08-08 LITTLE PINE PEDIATRICS, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2017 264385452 2018-10-13 LITTLE PINE PEDIATRICS, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2018-10-13
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2016 264385452 2017-07-30 LITTLE PINE PEDIATRICS, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2017-07-30
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2015 264385452 2016-10-12 LITTLE PINE PEDIATRICS, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature
LITTLE PINE PEDIATRICS, PLLC 401(K) PROFIT SHARING PLAN & TRUST 2014 264385452 2015-10-02 LITTLE PINE PEDIATRICS, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8505842141
Plan sponsor’s address 1702 S. JEFFERSON ST., PERRY, FL, 32348

Signature of
Role Plan administrator
Date 2015-10-02
Name of individual signing RONALD EMERICK, JR.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Managing Member

Name Role Address
EMERICK RONALD J Managing Member 13929 NW 166TH TERR, ALACHUA, FL, 32615

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000098227 COASTAL ACUTE CARE EXPIRED 2014-09-25 2019-12-31 No data 1702 S JEFFERSON ST, PERRY, FL, 32348

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-02-02 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 No data
REINSTATEMENT 2011-03-31 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-03-31 1702 S JEFFERSON ST, PERRY, FL 32348 No data
CHANGE OF MAILING ADDRESS 2011-03-31 1702 S JEFFERSON ST, PERRY, FL 32348 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-02-12
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-11

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated