Deandre Fullwood, LPN
NPI 1730815879 belongs to Deandre Fullwood, LPN, an addiction medicine (family medicine) physician with a practice location in Palm Beach Gardens, FL. The NPI was issued on July 30, 2022, and the record was last updated in NPPES on July 30, 2022.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 855671 (FL) |
Practice location
Local context
Active NPPES records list 21 providers with addiction medicine (family medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 10 of them within 10 miles.
The same primary taxonomy is listed by 100 in Florida and 1,636 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Mr. Deandre Claude Fullwood
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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