Individual provider · Type 1 NPI
Deandre Claude Fullwood, LPN
Addiction Medicine (Family Medicine) Physician · Palm Beach Gardens, FL
NPI number
1730815879
Active
Practice location
8841 Lyndall Ln
Palm Beach Gardens, FL 33403-1639
Mailing address
16894 73rd Ct N # Ctn
Loxahatchee, FL 33470-5838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 855671 (FL) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
7 other providers at this address
- Diamond Behavioral Health Center PBG LLCSubstance Abuse Rehabilitation Facility Palm Beach Gardens, FL NPI 1225840606
- Diamond Behavioral Health Center PBG LLCPsychiatric Residential Treatment Facility Palm Beach Gardens, FL NPI 1649044041
- Northlake Recovery, LLCSubstance Abuse Rehabilitation Facility Palm Beach Gardens, FL NPI 1528680998
- Alexis Thurman, LPNLicensed Practical Nurse Palm Beach Gardens, FL NPI 1902538069
- Jessica Jade PrincipeLicensed Practical Nurse Palm Beach Gardens, FL NPI 1134851298
- Jody Merritt, LPNLicensed Practical Nurse Palm Beach Gardens, FL NPI 1831826726
- Ronald HenriAddiction (Substance Use Disorder) Counselor Palm Beach Gardens, FL NPI 1841927167
About NPI 1730815879
Deandre Claude Fullwood, LPN's National Provider Identifier is 1730815879, issued on Jul 30, 2022. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jul 30, 2022.