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Derrick Dejuan Pettis

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NPI Number Detailed Information

Provider Information:

Name: Derrick Dejuan Pettis
Gender: M
Provider License Number If Given: B1026491

NPI Information:

NPI: 1265637847
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/15/2007

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 11150 4TH ST N APT 4301
St Petersburg, FL 33716
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 600 8TH AVE SE
St Petersburg, FL 33701
Phone Number: 7275021602
Fax Number: 7275021603

Provider Taxonomy:

Primary: 146N00000X
Secondary (if any):
State: FL

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About Derrick Dejuan Pettis

Derrick Dejuan Pettis ( DERRICK DEJUAN PETTIS ) is A Emergency Medical Technician, Basic Physician in St Petersburg, FL. The NPI Number for Derrick Dejuan Pettis is 1265637847.
The current location address for Derrick Dejuan Pettis is 600 8TH AVE SE St Petersburg, FL 33701 and the contact number is and fax number is . The mailing address for Derrick Dejuan Pettis is 11150 4TH ST N APT 4301 St Petersburg, FL 33716- 7275021602 (mailing address contact number - ).
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Provider Business Location on Map

FAQs:

What is the NPI Number for Derrick Dejuan Pettis ?


Answer: The NPI Number for Derrick Dejuan Pettis is 1265637847

Where is Derrick Dejuan Pettis located?


Answer: Derrick Dejuan Pettis is located at 600 8TH AVE SE St Petersburg, FL 33701.

What is the specialty for Derrick Dejuan Pettis ?


Answer: The Specialty of Derrick Dejuan Pettis is A Emergency Medical Technician, Basic Physician.

Are there any online reviews for Derrick Dejuan Pettis ?


Answer: Not yet!

Are there any other health care providers in St Petersburg, FL?


Answer: Yes, there are given below...

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