JOHN DERRICK PETTIT
NPI 1164732715
Contractor in Coconut Creek, FL
About John Derrick Pettit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DERRICK PETTIT (NPI 1164732715) is an individual contractor provider in Coconut Creek, Florida, licensed in Ohio (SV743461) and active in the NPI registry since October 2010.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Pettit's NPI number?
The NPI number for John Pettit is 1164732715. It was assigned to this individual provider in the NPPES registry on October 18, 2010.
Where is John Pettit located?
John Pettit practices at 6800 NW 39th Ave. Lot 486, Coconut Creek, FL 33073. The listed phone number is (740) 205-7315.
What is John Pettit's specialty?
The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.
When was this NPI record last updated?
The NPPES record for John Pettit was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.