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

Active since July 30, 2022
8841 LYNDALL LN, PALM BEACH GARDENS, FL 33403(561) 631-9997 Get Directions Write a Review

NPPES record last updated: July 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Deandre Claude Fullwood Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEANDRE CLAUDE FULLWOOD LPN (NPI 1730815879) is an individual addiction medicine provider in Palm Beach Gardens, Florida, licensed in Florida (855671) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1730815879
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameMR. DEANDRE CLAUDE FULLWOODCredential: LPN
Location Address8841 LYNDALL LNPalm Beach Gardens, FL 33403-1639
Mailing Address16894 73rd Ct N # CtnLoxahatchee, FL 33470-5838
Phone(561) 631-9997
Sole ProprietorYes
Enumeration DateJuly 30, 2022
NPPES CertifiedJuly 30, 2022
✔ NPI 1730815879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in FL · 855671
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
8841 LYNDALL LN, Palm Beach Gardens, FL 33403
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA JADE PRINCIPE
Licensed Practical Nurse
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (561) 838-7074
DIAMOND BEHAVIORAL HEALTH CENTER PBG LLC
Substance Abuse Rehabilitation Facility
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (772) 812-9652
NORTHLAKE RECOVERY, LLC
Substance Abuse Rehabilitation Facility
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (561) 619-8777
DIAMOND BEHAVIORAL HEALTH CENTER PBG LLC
Psychiatric Residential Treatment Facility
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (772) 812-9652
JODY MERRITT LPN
Licensed Practical Nurse
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (561) 838-7074
RONALD HENRI
Counselor (Addiction (Substance Use Disorder))
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (561) 838-7074
ALEXIS THURMAN LPN
Licensed Practical Nurse
8841 LYNDALL LN
PALM BEACH GARDENS, FL 33403
Palm Beach County (561) 838-7074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deandre Fullwood's NPI number?

The NPI number for Deandre Fullwood is 1730815879. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Where is Deandre Fullwood located?

Deandre Fullwood practices at 8841 Lyndall Ln, Palm Beach Gardens, FL 33403. The listed phone number is (561) 631-9997.

What is Deandre Fullwood's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Deandre Fullwood was last updated on July 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.