Derrick Dejuan Pettis
Derrick Dejuan Pettis is a Basic Emergency Medical Technician in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
600 8th Ave SESt Petersburg, FL 33701-5030
Phone: (727) 502-1602
Fax: (727) 502-1603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Basic Emergency Medical Technician (primary) | Taxonomy 146N00000X · Licence B1026491 (FL) |
|---|
Record details
| NPI number | 1265637847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | July 8, 2007 |
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