Organization
JOHN A. PETTIT, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. PETTIT OD (OWNER)
94192133411
Entity
Organization
Contact information
Practice address
3920 BEE RIDGE RD, BLDG. A SUITE A, SARASOTA, FL 34233-1207
(941) 923-3411
(941) 921-3832
Mailing address
3920 BEE RIDGE RD, BLDG. A SUITE A, SARASOTA, FL 34233-1207
(941) 923-3411
(941) 921-3832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086943100
—
FL
Enumeration date
06/30/2008
Last updated
06/30/2008
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