DERECK PETTIFORD

OCALA, FL
NPI1972677367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  3280462)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
DERECK PETTIFORD CRNA
3330 SW 33RD RD
OCALA, FL 34474-7458
Phone number: 352-873-9311
Mailing Address
DERECK PETTIFORD CRNA
8235 SW 72ND PL
GAINESVILLE, FL 32608-8425
Phone number: 352-380-2724