Soulshine Holistic Wellness LLC
NPI 1033885603ActiveOrganization· Physician Assistant· Melbourne, FL
Physician Assistant in Melbourne, Florida, registered in NPPES in August 2021. The authorized official on file is Amber Dickson, Owner.
Overview
| NPI | 1033885603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2021 |
| Last updated in NPPES | Aug 23, 2021 |
| Certified by provider | Aug 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Melbourne
- 1053364919
- 1801689856
- 1366846289
- 1437602125
- 1346149002
- 1750160388
- 1710486741
- 1639860430
- 1376621565
- 1326730227
- 1396832440
- 1336080456