Fullwood, Deandre Claude
Fullwood, Deandre Claude is an sole proprietor health care provider with primary practice located at 8841 Lyndall Ln , Palm Beach Gardens FL 33403-1639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Fullwood, Deandre Claude can be contacted via phone (561) 631-9997.Contact Information
Primary practice address
8841 Lyndall Ln
Palm Beach Gardens FL 33403-1639
Phone: (561) 631-9997
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 855671 | Florida |
Profile Details
| NPI number | 1730815879 |
|---|---|
| LBN Legal business name | Fullwood, Deandre Claude |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2022 |
| Last updated | Jul 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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