Individual provider Active NPI

Kanould Dolcine, MD

  • General Practice Physician
  • Port Saint Lucie, FL
National Provider Identifier
1366962979
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1141 Issued in FL
Practice address
540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
Phone
(772) 310-1567
Fax
(772) 673-3866
NPI assigned
Jun 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1141 FL Primary

Addresses

Primary practice location

540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280

Mailing address

540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
Phone (772) 310-1567

Other practice location 1

1650 S Congress Ave
Palm Springs, FL 33461-2175
Phone (561) 272-7714

Other practice location 2

56 Calle Dr Ramon E Betances N Apt 101A
Mayaguez, PR 00680-6685
Phone (754) 207-1484

Other practice location 3

9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453
Phone (561) 406-6080

Other practice location 4

601 N Congress Ave Ste 404
Delray Beach, FL 33445-4639
Phone (561) 272-7714

Other practice location 5

9199 US Hwy 1
Port Saint Lucie, FL 34952
Phone (772) 398-1305

Other practice location 6

540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
Phone (772) 310-1567

Other practice location 7

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 834-0101

Other practice location 8

672 SW Prima Vista Blvd Ste 101
Port Saint Lucie, FL 34983-1820
Phone (772) 310-1567

Other identifiers 2

IdentifierTypeStateIssuer
102551600MedicaidFL
08439994OtherECFMG (USMLE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000774 FL Practitioner - General Practice 4284992678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

14590 S Military TRL
Suite E2 E3
Delray Beach, FL 33484-3757
Phone (855) 226-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1141FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitam Florida Health and Wellness LLC General Practice CurrentSince Jul 10, 2022 Accepting new patients
Cano Health, LLC General Practice CurrentSince Jun 7, 2022 Accepting new patients
Medical Consultants of Florida, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

14590 S Military Trl
Ste E2
Delray Beach, FL 33484
Phone (561) 257-4424

601 N Congress Ave
Ste 404
Delray Beach, FL 33445
Phone (561) 272-7714

8333 NW 53rd St
Fl 6
Doral, FL 33166

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

1650 S Congress Ave
Palm Springs, FL 33461
Phone (561) 272-7714

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

540 NW University Blvd
Ste 102
Port St Lucie, FL 34986
Phone (772) 310-1567

9109 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 398-1305

Interoperability endpoints

  • Direct secure messaging: kanould.dolcine@chealth.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1366962979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862280",
            "telephone_number": "772-310-1567",
            "fax_number": "772-673-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862280",
            "telephone_number": "772-310-1567",
            "fax_number": "772-673-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334612175",
            "country_code": "US",
            "telephone_number": "561-272-7714",
            "fax_number": "855-618-2156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Calle Dr Ramon E Betances N Apt 101A",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006806685",
            "country_code": "US",
            "telephone_number": "754-207-1484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9109 S US Highway 1 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349523453",
            "country_code": "US",
            "telephone_number": "561-406-6080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Congress Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334454639",
            "country_code": "US",
            "telephone_number": "561-272-7714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9199 US HWY 1",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "34952",
            "country_code": "US",
            "telephone_number": "772-398-1305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 NW University Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349862280",
            "country_code": "US",
            "telephone_number": "772-310-1567",
            "fax_number": "772-673-3866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Calle Dr Basora N",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006804833",
            "country_code": "US",
            "telephone_number": "787-834-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "672 SW Prima Vista Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-310-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLCINE",
        "first_name": "KANOULD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102551600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG (USMLE)",
            "identifier": "08439994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.