Active NPIIndividual providerSole proprietor

Dr. Kanould Dolcine, MD

General Practice in Port Saint Lucie, Florida

NPI Number1366962979
Practice location
540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986-2280
Fax
772-673-3866
Last updated
August 17, 2026

Kanould Dolcine is a General Practice based in Port Saint Lucie, FL. Kanould Dolcine practices in Port Saint Lucie, FL and has the professional credentials of MD. The NPI Number for Kanould Dolcine is 1366962979 and holds a License No. ACN1141 (FL). The current practice location address for Kanould Dolcine is 540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986-2280 and can be reached out via phone at 772-310-1567 and via fax at 772-673-3866.

Provider Profile Details

NPI Number
1366962979
Provider Name
Kanould Dolcine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986-2280
Phone Number
772-310-1567
Fax Number
772-673-3866
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 24, 2017
Last Update Date
August 17, 2026
Certification Date
August 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
State
Florida
Zip
34986-2280
Phone Number
772-310-1567
Fax Number
772-673-3866
Port Saint Lucie, FL 34986Get directions →

Provider Business Mailing Address Details

Address
540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
City
Port Saint Lucie
State
FL
Zip
34986-2280
Phone Number
772-310-1567
Fax Number
772-673-3866

License Information

License Number
ACN1141
License State
FL
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kanould Dolcine, MD?

The NPI number of Dr. Kanould Dolcine, MD is 1366962979. It was assigned on June 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Kanould Dolcine, MD?

Dr. Kanould Dolcine, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in FL under license number ACN1141.

Where does Dr. Kanould Dolcine, MD practice?

The practice location is 540 NW University Blvd Ste 102, Port Saint Lucie, FL 34986-2280. The office can be reached at 772-310-1567 (phone) or 772-673-3866 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366962979 directly on the NPPES registry website.

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