Individual
DERRICK DEJUAN PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
(727) 502-1602
(727) 502-1603
Mailing address
11150 4TH ST N APT 4301, ST PETERSBURG, FL 33716-2909
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1026491
FL
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us