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: August 09, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn George MD, Pa/Vida Integrative Medicine's NPI number?

The NPI number for Carolyn George MD, Pa/Vida Integrative Medicine is 1962051458. It was assigned to this organization in the NPPES registry on September 6, 2019. The provider is doing business as VIDA Integrative Medicine.

Where is Carolyn George MD, Pa/Vida Integrative Medicine located?

Carolyn George MD, Pa/Vida Integrative Medicine is located at 12651 W Sunrise Blvd Ste 103, Sunrise, FL 33323. The listed phone number is (954) 361-5202.

What is Carolyn George MD, Pa/Vida Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Carolyn George MD, Pa/Vida Integrative Medicine was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.