Organization Active NPI

Pediatric Dream Care PA

  • Pediatrics Physician
  • Palm Springs, FL
National Provider Identifier
1497451983
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC DREAM CARE PA
Practice address
3199 Lake Worth Rd
Palm Springs, FL 33461-3652
Phone
(561) 621-1801
Fax
(561) 331-4603
NPI assigned
Feb 6, 2023
Organization subpart
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

Authorized official

Name
Dr. Mylai Garofalo, MD, FAAPNPI 1265724355
Title
Ceo
Phone
(239) 410-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3199 Lake Worth Rd
Palm Springs, FL 33461-3652

Mailing address

3199 Lake Worth Rd Ste B2
Palm Springs, FL 33461-3652
Phone (561) 621-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230221002953 FL Part B Supplier - Clinic/Group Practice 6305218397 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2286425Pediatric Dream Care, PA3199 Lake Worth Rd, Ste B-2, Palm Springs, FL 33461Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

3199 Lake Worth Rd
Ste B2
Palm Springs, FL 33461
Phone (561) 621-1801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1497451983",
    "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",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613652",
            "telephone_number": "561-621-1801",
            "fax_number": "561-331-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DREAM CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "GAROFALO",
        "authorized_official_first_name": "MYLAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-410-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.