Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEANDRE CLAUDE FULLWOOD, LPN
Active Sole ProprietorMR. DEANDRE CLAUDE FULLWOOD, LPN is a Addiction Medicine (Family Practice) healthcare provider located in PALM BEACH GARDENS, Florida. NPI 1730815879 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · PALM BEACH GARDENS, FL
Registration Details
- NPI Number
- 1730815879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2022 (4.0741494898916 yrs)
- Last Updated
- Jul 30, 2022
- License
-
855671 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8841 LYNDALL LNPALM BEACH GARDENS, FL, 334031639Browse FL providers · Browse ZIP 33403
- Phone
- 5616319997
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.