Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric ENT, LLC

Organization Pediatric Otolaryngology Physician · NPI 1508002072

Pediatric ENT, LLC provides Pediatric Otolaryngology Physician services in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1499 S Harbor City Blvd Ste 303
Melbourne, FL 32901-3245 Not confirmed with CMS for 12 years — call before visiting
Phone: (321) 254-5437
Fax: (321) 254-4543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence ME90348 (FL)

Record details

NPI number1508002072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Malis — Manager · (321) 254-5437
Other names Family Ent & Audiology
NPI enumeratedJanuary 5, 2009
Last updated in NPPESApril 18, 2014
Mailing address1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245

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