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VITAM FLORIDA HEALTH AND WELLNESS LLC
NPI 1407597230
General Practice in Port Saint Lucie, FL

Active since April 05, 2022CLIA 10D2344704 · Waiver
540 NW UNIVERSITY BLVD STE 102, PORT SAINT LUCIE, FL 34986(772) 310-1567(772) 673-3866 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jun 1, 2026, May 9, 2022, Apr 27, 2022 and 2 more (5 updates tracked since 2022).

About Vitam Florida Health And Wellness Llc NPPES

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

VITAM FLORIDA HEALTH AND WELLNESS LLC (NPI 1407597230) is a healthcare organization registered as a general practice in Port Saint Lucie, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through May 27, 2028, maintains a secondary practice location in Fort Pierce, and lists Kanould Dolcine, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1407597230
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVITAM FLORIDA HEALTH AND WELLNESS LLC
Location Address540 NW UNIVERSITY BLVD STE 102Port Saint Lucie, FL 34986-2280
Mailing Address540 Nw University Blvd Ste 102Port Saint Lucie, FL 34986-2280 · (772) 310-1567 · Fax (772) 673-3866
Phone(772) 310-1567
Fax(772) 673-3866
Organization SubpartNo
Authorized OfficialKanould DolcineMd/owner · (754) 207-1484
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 1, 20265 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1407597230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
540 NW UNIVERSITY BLVD STE 102, Port Saint Lucie, FL 34986
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Secondary Practice Location 1

Location 1130 S Indian River Dr Ste 202Fort Pierce, FL 34950-4353 · Phone (772) 310-1567

Other Identifiers 1

Medicaid131312100FL

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2344704

Vitam Florida Health And Wellness LLC · Port Saint Lucie, FL
Active · expires May 27, 2028
CLIA Number10D2344704
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorKanould Dolcine
Laboratory Phone(772) 310-1567
Laboratory LocationVitam Florida Health And Wellness LLC540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA MARIUS APRN (FNP-BC)
Nurse Practitioner (Family)
540 NW UNIVERSITY BLVD STE 102
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 310-1567
DR. KANOULD DOLCINE MD
General Practice
540 NW UNIVERSITY BLVD STE 102
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 310-1567

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 Vitam Florida Health And Wellness LLC's NPI number?

The NPI number for Vitam Florida Health And Wellness LLC is 1407597230. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Vitam Florida Health And Wellness LLC located?

Vitam Florida Health And Wellness LLC is located at 540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986. The listed phone number is (772) 310-1567.

What is Vitam Florida Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Vitam Florida Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2344704) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitam Florida Health And Wellness LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.