Individual provider Active NPI

Mylai Garofalo, M.D.

  • Pediatrics Physician
  • Palm Springs, FL
National Provider Identifier
1265724355
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME 109526 Issued in FL
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

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003773700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000510 FL Practitioner - Pediatric Medicine 4880862580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 109526FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dream Care PA Pediatrics CurrentSince Nov 11, 2022 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

  • Direct secure messaging: drgarofalo@pediatricdreamcare.opdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.