Individual
DR. BRETT ELIZABETH PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4797 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(407) 498-0222
(407) 892-0800
Mailing address
4797 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(407) 498-0222
(407) 892-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10926
TX
111N00000X
Chiropractor
Primary
CH8130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382281800
—
FL
01
—
653996
UNITED HEALTH CARE
FL
01
—
6941720
CIGNA
FL
01
—
88167
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/18/2007
Last updated
06/10/2016
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