Active NPI
Mylai Garofalo, M.D.
- Pediatrics Physician
- Palm Springs, FL
National Provider Identifier
1265724355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 109526
- Practice address
- 3199 Lake Worth Rd Ste B2
Palm Springs, FL 33461-3652 - Phone
- (561) 621-1801
- Fax
- (561) 331-4603
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 109526 | FL | Primary |
Addresses
Primary practice location
3199 Lake Worth Rd Ste B2
Palm Springs, FL 33461-3652
Mailing address
3199 Lake Worth Rd Ste B2
Palm Springs, FL 33461-3652
Phone (561) 621-1801
Other practice location 1
315 S W C Owen Ave
Clewiston, FL 33440-3637
Phone (863) 983-7813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003773700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 109526 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dream Care PA | Pediatrics | Current | Accepting new patients |
| Florida Community Health Centers, Inc. | Past | Accepting new patients |
Locations
3199 Lake Worth Rd
Ste B2
Palm Springs, FL 33461
Phone (561) 621-1801
Interoperability endpoints
- drgarofalo@pediatricdreamcare.opdirect.net
- mylai.garofalo.1@14865.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Palm Springs, FL
- NPI 1497451983
-
- Federally Qualified Health Center (FQHC)
- Fort Pierce, FL
- NPI 1104250786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1265724355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3199 LAKE WORTH RD STE B2",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613652",
"telephone_number": "561-621-1801",
"fax_number": "561-331-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3199 LAKE WORTH RD STE B2",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613652",
"telephone_number": "561-621-1801",
"fax_number": "561-331-4603"
}
],
"practiceLocations": [
{
"address_1": "315 S W C Owen Ave",
"address_purpose": "LOCATION",
"city": "Clewiston",
"state": "FL",
"postal_code": "334403637",
"country_code": "US",
"telephone_number": "863-983-7813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAROFALO",
"first_name": "MYLAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 109526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003773700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.