Derrick Pettis

NPI 1265637847 · on the registry since 2007 · sole proprietor

Practice

Address: 600 8th Ave Se
St Petersburg, FL 33701
Phone: (727) 502-1602
Fax: (727) 502-1603
Organisation at this address: Us Coast Guard
St Petersburg Uscg Phcy
Uscg Clinic St Petersburg
Uscg Sector St Petersburg Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 146N00000X
146N00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida