CAROLYN GEORGE MD, PA/VIDA INTEGRATIVE MEDICINE
NPI 1962051458
Clinic/Center - Primary Care in Sunrise, FL

Active since September 06, 2019
12651 W SUNRISE BLVD STE 103, SUNRISE, FL 33323(954) 361-5202(954) 448-7741 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carolyn George Md, Pa/vida Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN GEORGE MD, PA/VIDA INTEGRATIVE MEDICINE (NPI 1962051458), doing business as Vida Integrative Medicine, is a healthcare organization registered as a primary care in Sunrise, Florida and active in the NPI registry since September 2019. The organization lists Carolyn S George, President, as its authorized official.

NPPES Registry Identity

NPI1962051458
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCAROLYN GEORGE MD, PA/VIDA INTEGRATIVE MEDICINE
Location Address12651 W SUNRISE BLVD STE 103Sunrise, FL 33323-0906
Mailing Address2969 WentworthWeston, FL 33332-1841 · (954) 288-2789
Fax(954) 448-7741
Organization SubpartNo
Authorized OfficialCarolyn S GeorgePresident · (954) 361-5202
Enumeration DateSeptember 6, 2019
NPI 1962051458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12651 W SUNRISE BLVD STE 103, Sunrise, FL 33323

Other Names 1

Doing Business AsVida Integrative Medicine

Other Identifiers 1

Other1740447051Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
12651 W SUNRISE BLVD STE 103
SUNRISE, FL 33323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962051458, enumerated as an "organization" on September 06, 2019.

The provider is located at 12651 W SUNRISE BLVD STE 103 SUNRISE, FL 33323 and the phone number is (954) 361-5202.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.