Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Deandre Claude Fullwood, LPN

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1730815879

Mr. Deandre Claude Fullwood, LPN is an Addiction Medicine (Family Medicine) Physician in Palm Beach Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

8841 Lyndall Ln
Palm Beach Gardens, FL 33403-1639
Phone: (561) 631-9997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 855671 (FL)

Record details

NPI number1730815879
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedJuly 30, 2022
Last updated in NPPESJuly 30, 2022
Certification dateJuly 30, 2022

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