Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK DEJUAN PETTIS
Active Sole ProprietorDERRICK DEJUAN PETTIS is a Emergency Medical Technician, Basic healthcare provider located in ST PETERSBURG, Florida. NPI 1265637847 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Basic · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1265637847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2007 (19.174589186092 yrs)
- Last Updated
- Jul 8, 2007
- License
-
B1026491 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 8TH AVE SEST PETERSBURG, FL, 337015030Browse FL providers · Browse ZIP 33701
- Phone
- 7275021602
- Fax
- 7275021603
- Primary Specialty
-
Emergency Medical Technician, Basic
146N00000X
Other Emergency Medical Technician, Basic Providers in ST PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| ERICK KOSZYK | EMT | 1275763419 |
| ASHLEY HARRIS | — | 1437709359 |
| MISS RENA ELIZABETH GILBERTSON | EMT, IDHS | 1962173203 |
| DAVID WHEELER | — | 1477416188 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.