Organization
VITAM FLORIDA HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANOULD DOLCINE (MD)
(772) 310-1567
Entity
Organization
Contact information
Practice address
130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950-4353
(772) 310-1567
Mailing address
11352 SW WYNDHAM WAY, PORT SAINT LUCIE, FL 34987-2784
(772) 310-1567
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
06/15/2022
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