Healthcare Provider Details

I. General information

NPI: 1790603876
Provider Name (Legal Business Name): MONIQUE DEBE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 10TH ST SW
LEHIGH ACRES FL
33976
US

IV. Provider business mailing address

5781 LEE BLVD STE 208-363
LEHIGH ACRES FL
33971-6337
US

V. Phone/Fax

Practice location:
  • Phone: 239-878-7135
  • Fax:
Mailing address:
  • Phone: 239-878-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: