Derrick Dejuan Pettis is an emergency medical technician basic in St Petersburg, FL. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Derrick Dejuan Pettis NPI is 1265637847. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
600 8TH AVE SE
ST PETERSBURG, FL
ZIP 33701-030
Phone: (727) 502-1602
Fax: (727) 502-1603
The enumeration date for this NPI number is 6/15/2007 and was last updated on 7/8/2007.