Organization
CAROLYN GEORGE MD, PA/VIDA INTEGRATIVE MEDICINE
Active
Other names
VIDA Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN S GEORGE MD (PRESIDENT)
(954) 361-5202
Entity
Organization
Contact information
Practice address
12651 W SUNRISE BLVD STE 103, SUNRISE, FL 33323-0906
(954) 361-5202
(954) 448-7741
Mailing address
2969 WENTWORTH, WESTON, FL 33332-1841
(954) 288-2789
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740447051
NPI
—
Enumeration date
09/06/2019
Last updated
09/06/2019
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