Vitam Florida Health and Wellness LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VITAM FLORIDA HEALTH AND WELLNESS LLC

Practice address

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

Phone

(772) 310-1567

Fax

(772) 673-3866

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kanould DolcineNPI 1366962979

Title

MD/Owner

Phone

(754) 207-1484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanould Dolcine, MD

  • General Practice Physician
  • Port Saint Lucie, FL
  • NPI 1366962979
  Medicare reassignment NPD Authorized official
• Vanessa Marius, APRN (FNP-BC)

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1154294783
  Medicare reassignment NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1407597230",
    "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": "130 S Indian River Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504353",
            "country_code": "US",
            "telephone_number": "772-310-1567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAM FLORIDA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "DOLCINE",
        "authorized_official_first_name": "KANOULD",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "754-207-1484",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131312100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marckenson Vincent Sr.
• William Joseph Vinyard, MD
• Visser Health LLC
• Vitality Mobile Nursing Services LLC
• Vitality Oasis Alf LLC
• Rebecca K Vlha
• Huyen Vu
• Brianna Wagner
• Marie A Wagner
• Wal-Mart Stores East, LP

• General Practice Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.