Individual provider · Type 1 NPI

Derrick Dejuan Pettis

Basic Emergency Medical Technician · St. Petersburg, FL

NPI number 1265637847 Active

Practice location

600 8th Ave SE
St. Petersburg, FL 33701-5030

Fax (727) 502-1603

Mailing address

11150 4th St N Apt 4301
St. Petersburg, FL 33716-2909

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician Primary 146N00000XB1026491 (FL)

Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

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About NPI 1265637847

Derrick Dejuan Pettis's National Provider Identifier is 1265637847, issued on Jun 15, 2007. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.