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Organization
CAROLINA MEDICAL CENTER INC
Active
Organization
CAROLINA MEDICAL CENTER INC
Active
Other names
Vida Medical Centers of Miramar
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY LOPEZ (PRESIDENT)
(305) 269-7887
Entity
Organization
Contact information
Practice address
3206 S UNIVERSITY DR, MIRAMAR, FL 33025-3007
(954) 308-2361
(954) 308-2362
Mailing address
14901 NW 79 CT, 2ND FLOOR, MIAMI LAKES, FL 33016-5856
(305) 269-7887
(786) 219-4300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/23/2023
Last updated
10/15/2026
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