| Dr Kanould Dolcine, MD | |
|
540 Nw University Blvd Ste 102, Port Saint Lucie, FL 34986-2280 | |
| (772) 310-1567 | |
| (772) 673-3866 |
| Full Name | Dr Kanould Dolcine |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 19 Years |
| Location | 540 Nw University Blvd Ste 102, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962979 | NPI | - | NPPES |
| 08439994 | Other | ECFMG (USMLE) | |
| 102551600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1141 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cano Health, Llc | 1759565047 | 141 |
| Entity Name | Cano Health, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
| Entity Name | Vitam Florida Health and Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407597230 PECOS PAC ID: 3476022104 Enrollment ID: O20260512002098 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kanould Dolcine, MD 540 Nw University Blvd Ste 102, Port Saint Lucie, FL 34986-2280 Ph: (772) 310-1567 | Dr Kanould Dolcine, MD 540 Nw University Blvd Ste 102, Port Saint Lucie, FL 34986-2280 Ph: (772) 310-1567 |
Denis A Vilchez, M.D. General Practice Medicare: May Accept Medicare Assignments Practice Location: 451 Sw Bethany Dr Ste 103, Port Saint Lucie, FL 34986 Phone: 772-348-0828 |
Diego F. Montes, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 900 Sw Saint Lucie West Blvd, Port Saint Lucie, FL 34986 Phone: 772-877-3591 |