| Carolyn George Md, Pa/vida Integrative Medicine | |
|
12651 W Sunrise Blvd Ste 103 Sunrise FL 33323-0906 | |
| (954) 361-5202 | |
| (954) 448-7741 |
| Full Name | Carolyn George Md, Pa/vida Integrative Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12651 W Sunrise Blvd Ste 103, Sunrise, Florida |
| Authorized Official Name and Position | Carolyn S George (PRESIDENT) |
| Authorized Official Contact | 9543615202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn George Md, Pa/vida Integrative Medicine 2969 Wentworth Weston FL 33332-1841 Ph: (954) 288-2789 | Carolyn George Md, Pa/vida Integrative Medicine 12651 W Sunrise Blvd Ste 103 Sunrise FL 33323-0906 Ph: (954) 361-5202 |
| NPI Number | 1962051458 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962051458 | NPI | - | NPPES |
| 1740447051 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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