MR. DEANDRE CLAUDE FULLWOOD LPN
NPI 1730815879
Family Medicine - Addiction Medicine in Palm Beach Gardens, FL

NPI Status: Active since July 30, 2022

Contact Information

8841 LYNDALL LN
PALM BEACH GARDENS, FL
ZIP 33403
Phone: (561) 631-9997

NPI Profile Information
Primary Taxonomy
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Family Medicine
Addiction Medicine

About DEANDRE FULLWOOD

This page provides the complete NPI Profile along with additional information for Deandre Fullwood, a provider established in Palm Beach Gardens, Florida with a medical specialization in Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1730815879 assigned on July 2022. The practitioner's primary taxonomy code is 207QA0401X with license number 855671 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1730815879
Provider Name: MR. DEANDRE CLAUDE FULLWOOD LPN
Gender: Male
Entity Type: Individual
Location Address: 8841 LYNDALL LN PALM BEACH GARDENS, FL 33403
Location Phone: (561) 631-9997
Mailing Address: 16894 73RD CT N # CTN LOXAHATCHEE, FL 33470
Is Sole Proprietor?: Yes
Enumeration Date: 07-30-2022
Last Update Date: 07-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine Addiction Medicine
Taxonomy Code: 207QA0401X
Type: Allopathic & Osteopathic Physicians
License No.: 855671
License State: FL
Taxonomy Description: A family medicine physician who specializes in the diagnosis and treatment of addictions.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	3	0	8	1	5	8	7	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	6	0	16	1	10	8	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 6 + 1 + 1 + 0 + 8 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1730815879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.