Pettis, Derrick Dejuan
Pettis, Derrick Dejuan is an sole proprietor health care provider with primary practice located at 600 8Th Ave Se , St Petersburg FL 33701-5030. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Pettis, Derrick Dejuan can be contacted via phone (727) 502-1602.Contact Information
Primary practice address
600 8Th Ave Se
St Petersburg FL 33701-5030
Phone: (727) 502-1602
Fax: (727) 502-1603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | B1026491 | Florida |
Profile Details
| NPI number | 1265637847 |
|---|---|
| LBN Legal business name | Pettis, Derrick Dejuan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Wilgers, Kenneth D.
3129 College St Suite 200, Beaumont TX 77701-4660 -
Camacho, Hector E.
311 W Bass St , Kissimmee FL 34741-5011 -
Levy, Steven R
21411A 73Rd Ave , Oakland Gardens NY 11364-2947 -
Carver, Gerald W
1955 Us Highway 1 S Suite B-1, St Augustine FL 32086-3708 -
Harris, Ashley
882 30Th Ave S , St Petersburg FL 33705-3634 -
Becker, Dianne L
1111 Sw 8Th St , Plainville KS 67663-3105 -
Chason, Joshua Clifford
Annandale Rd Stevenson Gymnasium, Red Hook NY 12504 -
Gilbertson, Rena Elizabeth
1301 Beach Dr Se , St Petersburg FL 33701-5621