Active NPI
Kanould Dolcine, MD
- General Practice Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102551600 | Medicaid | FL | |
| 08439994 | Other | ECFMG (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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1141 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitam Florida Health and Wellness LLC | General Practice | Current | Accepting new patients |
| Cano Health, LLC | General Practice | Current | Accepting new patients |
| Medical Consultants of Florida, LLC | Current | 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
- 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.
-
- General Practice Physician
- Port Saint Lucie, FL
- NPI 1407597230
-
- Non-Pharmacy Dispensing Site
- Port St Lucie, FL
- NPI 1396511465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.