# CAROLINA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vida Medical Centers of Miramar
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164121612
- **Authorized official:** SANDY LOPEZ (PRESIDENT)
- **Authorized official phone:** (305) 269-7887

## Contact information

- **Practice address:** 3206 S UNIVERSITY DR, MIRAMAR, FL 33025-3007
- **Practice address phone:** (954) 308-2361
- **Practice address fax:** (954) 308-2362
- **Mailing address:** 14901 NW 79 CT, 2ND FLOOR, MIAMI LAKES, FL 33016-5856
- **Mailing address phone:** (305) 269-7887
- **Mailing address fax:** (786) 219-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2023
- **Last updated:** 10/15/2026