Healthcare Provider Details

I. General information

NPI: 1770403438
Provider Name (Legal Business Name): MONTEZ HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 LAKESIDE DR APT 301
MARGATE FL
33063-1402
US

IV. Provider business mailing address

5740 LAKESIDE DR APT 301
MARGATE FL
33063-1402
US

V. Phone/Fax

Practice location:
  • Phone: 307-394-0562
  • Fax:
Mailing address:
  • Phone: 307-394-0562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEVIN DEANDRE DUKES
Title or Position: MANAGER
Credential:
Phone: 307-394-0562