FAMILY ENT & AUDIOLOGY
NPI 1508002072
Otolaryngology - Pediatric Otolaryngology in Melbourne, FL

Active since January 05, 2009
1499 S HARBOR CITY BLVD STE 303, MELBOURNE, FL 32901(321) 254-5437(321) 254-4543 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Ent & Audiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY ENT & AUDIOLOGY (NPI 1508002072) is a healthcare organization registered as a pediatric otolaryngology in Melbourne, Florida and active in the NPI registry since January 2009. The organization lists David Joel Malis, Manager, as its authorized official.

NPPES Registry Identity

NPI1508002072
Entity TypeOrganization
Primary Taxonomy207YP0228X
Legal Business NamePEDIATRIC ENT, LLC
Location Address1499 S HARBOR CITY BLVD STE 303Melbourne, FL 32901-3245
Mailing Address1499 S Harbor City Blvd Ste 303Melbourne, FL 32901-3245 · (321) 254-5437 · Fax (321) 254-4543
Fax(321) 254-4543
Organization SubpartNo
Authorized OfficialDavid Joel MalisManager · (321) 254-5437
Enumeration DateJanuary 5, 2009
Last NPPES UpdateApril 18, 2014
NPI 1508002072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in FL · ME90348
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
1499 S HARBOR CITY BLVD STE 303, Melbourne, FL 32901

Other Names 1

Doing Business AsFamily Ent & Audiology

Other Identifiers 4

Other01269821FL · Medicaid Hmo - Amerigroup
Medicaid271247400FL
Other2258392FL · Medicaid Hmo - United Health Care
Other332181FL · Medicaid Hmo - Wellcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Ent, LLC's NPI number?

The NPI number for Pediatric Ent, LLC is 1508002072. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is doing business as Family Ent & Audiology.

Where is Pediatric Ent, LLC located?

Pediatric Ent, LLC is located at 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901. The listed phone number is (321) 254-5437.

What is Pediatric Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

What insurance does Pediatric Ent, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Pediatric Ent, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Ent, LLC was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.