# VITAM FLORIDA HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407597230
- **Authorized official:** DR. KANOULD DOLCINE (MD/OWNER)
- **Authorized official phone:** (754) 207-1484

## Contact information

- **Practice address:** 540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986-2280
- **Practice address phone:** (772) 310-1567
- **Practice address fax:** (772) 673-3866
- **Mailing address:** 540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986-2280
- **Mailing address phone:** (772) 310-1567
- **Mailing address fax:** (772) 673-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 06/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 131312100 | — | FL |