Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric ENT, LLC

Organization Pediatric Otolaryngology Physician · NPI 1508002072

Pediatric ENT, LLC is a Pediatric Otolaryngology Physician 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
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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