| NPI | 1962051458 |
|---|---|
| Doing Business As | VIDA INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN S GEORGE President 954-361-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |