Healthcare Provider Details

I. General information

NPI: 1689410300
Provider Name (Legal Business Name): VICTORIA GALINDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N UNIVERSITY DR STE 102
PEMBROKE PINES FL
33024-3618
US

IV. Provider business mailing address

4179 S PINE ISLAND RD
DAVIE FL
33328-2833
US

V. Phone/Fax

Practice location:
  • Phone: 239-379-8286
  • Fax:
Mailing address:
  • Phone: 954-736-6337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2830817
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: