Healthcare Provider Details

I. General information

NPI: 1295387306
Provider Name (Legal Business Name): LAURA V GARRIDO INOJOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY STE 173
STUART FL
34994-1019
US

IV. Provider business mailing address

901 HILLCREST DR APT 402
HOLLYWOOD FL
33021-7859
US

V. Phone/Fax

Practice location:
  • Phone: 772-362-9878
  • Fax: 772-362-9879
Mailing address:
  • Phone: 786-542-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2836651
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: