Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soulshine Holistic Wellness LLC

Organization Physician Assistant · NPI 1033885603

Soulshine Holistic Wellness LLC is a Physician Assistant in Melbourne, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5922 Goleta Cir
Melbourne, FL 32940-8035
Phone: (321) 266-1427
Fax: (888) 727-0593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033885603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Dickson — Owner · (321) 266-1427
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address5922 Goleta Cir, Melbourne, FL 32940-8035

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