Healthcare Provider Details

I. General information

NPI: 1265724355
Provider Name (Legal Business Name): MYLAI GAROFALO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2011
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3199 LAKE WORTH RD STE B2
PALM SPRINGS FL
33461-3652
US

IV. Provider business mailing address

3199 LAKE WORTH RD STE B2
PALM SPRINGS FL
33461-3652
US

V. Phone/Fax

Practice location:
  • Phone: 561-621-1801
  • Fax: 561-331-4603
Mailing address:
  • Phone: 561-621-1801
  • Fax: 561-331-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 109526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: