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SOULSHINE HOLISTIC WELLNESS LLC
NPI 1033885603
Physician Assistant in Melbourne, FL

Active since August 23, 2021
5922 GOLETA CIR, MELBOURNE, FL 32940(321) 266-1427(888) 727-0593 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soulshine Holistic Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOULSHINE HOLISTIC WELLNESS LLC (NPI 1033885603) is a healthcare organization registered as a physician assistant in Melbourne, Florida and active in the NPI registry since August 2021. The organization lists Amber Dickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1033885603
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOULSHINE HOLISTIC WELLNESS LLC
Location Address5922 GOLETA CIRMelbourne, FL 32940-8035
Mailing Address5922 Goleta CirMelbourne, FL 32940-8035 · (321) 266-1427 · Fax (888) 727-0593
Phone(321) 266-1427
Fax(888) 727-0593
Organization SubpartNo
Authorized OfficialAmber DicksonOwner · (321) 266-1427
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1033885603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5922 GOLETA CIR, Melbourne, FL 32940
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soulshine Holistic Wellness LLC's NPI number?

The NPI number for Soulshine Holistic Wellness LLC is 1033885603. It was assigned to this organization in the NPPES registry on August 23, 2021.

Where is Soulshine Holistic Wellness LLC located?

Soulshine Holistic Wellness LLC is located at 5922 Goleta Cir, Melbourne, FL 32940. The listed phone number is (321) 266-1427.

What is Soulshine Holistic Wellness LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Soulshine Holistic Wellness LLC was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.