Mr Deandre Claude Fullwood, LPN - Family Medicine in Palm Beach Gardens, FL

Mr Deandre Claude Fullwood, LPN is a Family Medicine - Addiction Medicine physician based in Palm Beach Gardens, Florida. Mr Deandre Claude Fullwood is licensed to practice in Florida (license number 855671) and his current practice location is 8841 Lyndall Ln, Palm Beach Gardens, Florida. He can be reached at his office (for appointments etc.) via phone at (561) 631-9997.

NPI number for Mr Deandre Claude Fullwood is 1730815879 and his current mailing address is 16894 73rd Ct N # Ctn, Loxahatchee, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730815879.

Contact Information

Mr Deandre Claude Fullwood, LPN
8841 Lyndall Ln,
Palm Beach Gardens, FL 33403-1639
(561) 631-9997
Not Available

Map and Direction




Physician's Profile

Full NameMr Deandre Claude Fullwood
GenderMale
SpecialityFamily Medicine - Addiction Medicine
Location8841 Lyndall Ln, Palm Beach Gardens, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730815879
  • Provider Enumeration Date: 07/30/2022
  • Last Update Date: 07/30/2022

Medical Identifiers

Medical identifiers for Mr Deandre Claude Fullwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730815879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 855671 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Deandre Claude Fullwood is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Deandre Claude Fullwood, LPN
16894 73rd Ct N # Ctn,
Loxahatchee, FL 33470-5838

Ph: () -
Mr Deandre Claude Fullwood, LPN
8841 Lyndall Ln,
Palm Beach Gardens, FL 33403-1639

Ph: (561) 631-9997

Reviews and Comments


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