Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Derrick Pettit

Individual provider Contractor · NPI 1164732715

John Derrick Pettit is a Contractor in Coconut Creek, Florida. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2010

Practice location Address checks out

6800 NW 39th Ave Lot 486
Coconut Creek, FL 33073
Phone: (740) 205-7315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence SV743461 (OH)

Record details

NPI number1164732715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2010
Last updated in NPPESOctober 18, 2010

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