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DERRICK DEJUAN PETTIS
NPI 1265637847
Emergency Medical Technician, Basic in St Petersburg, FL

Active since June 15, 2007
600 8TH AVE SE, ST PETERSBURG, FL 33701(727) 502-1602(727) 502-1603 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Dejuan Pettis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK DEJUAN PETTIS (NPI 1265637847) is an individual emergency medical technician, basic provider in St Petersburg, Florida, licensed in Florida (B1026491) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1265637847
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameDERRICK DEJUAN PETTIS
Location Address600 8TH AVE SESt Petersburg, FL 33701-5030
Mailing Address11150 4th St N Apt 4301St Petersburg, FL 33716-2909
Phone(727) 502-1602
Fax(727) 502-1603
Sole ProprietorYes
Enumeration DateJune 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265637847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in FL · B1026491
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
600 8TH AVE SE, St Petersburg, FL 33701
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

USCG SECTOR ST PETERSBURG CLINIC
Clinic/Center (Military/U.S. Coast Guard Outpatient)
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 502-1586
ANNELIES SWARTS BYINGTON HS3
Military Health Care Provider
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 502-1586
KAREN L GORDON RDH
Dental Hygienist
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 502-1586
MR. GARRETT JAMES TRYON
Military Health Care Provider (Independent Duty Corpsman)
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 502-1555
MR. KEVIN F. CRONIN SF-IDC
Military Health Care Provider (Independent Duty Corpsman)
600 8TH AVE SE
ST PETERSBURG, USA 33701
Pinellas County (727) 502-1586
USCG CLINIC ST PETERSBURG
Clinic/Center (Military/U.S. Coast Guard Outpatient)
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 535-1437
CHRISTINE SMITH
Dental Hygienist
600 8TH AVE SE
SAINT PETERSBURG, FL 33701
Pinellas County (727) 502-1586
ST PETERSBURG USCG PHCY
Pharmacy
600 8TH AVE SE
ST PETERSBURG, FL 33701
Pinellas County (727) 502-1586

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 Derrick Pettis's NPI number?

The NPI number for Derrick Pettis is 1265637847. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Derrick Pettis located?

Derrick Pettis practices at 600 8th Ave SE, St Petersburg, FL 33701. The listed phone number is (727) 502-1602.

What is Derrick Pettis's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Derrick Pettis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.