Organization
VITAM FLORIDA HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANOULD DOLCINE (MD/OWNER)
(754) 207-1484
Entity
Organization
Contact information
Practice address
540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986-2280
(772) 310-1567
(772) 673-3866
Mailing address
540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986-2280
(772) 310-1567
(772) 673-3866
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131312100
—
FL
Enumeration date
04/05/2022
Last updated
06/01/2026
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