Pediatric Ent, LLC
Pediatric Ent, LLC is a healthcare organization registered as Pediatric Otolaryngology Physician in Melbourne, FL, holding Type 2 (organization) NPI 1508002072 since 2009. The authorized official on file is David Malis, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508002072 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Ent, LLC |
| Other name | <Unavail> |
| Practice address | 1499 S HARBOR CITY BLVD STE 303, Melbourne, FL, 32901 |
| Phone | 3212545437 |
| Fax | 3212544543 |
| Enumeration date | 2009-01-05 |
| Last updated in NPPES | 2014-04-18 |
Authorized official
| Name | David Malis |
|---|---|
| Title | Manager |
| Phone | 3212545437 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207YP0228X | Pediatric Otolaryngology Physician | Primary | ME90348 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01269821 | Other | FL | MEDICAID HMO - AMERIGROUP |
| 2258392 | Other | FL | MEDICAID HMO - UNITED HEALTH CARE |
| 332181 | Other | FL | MEDICAID HMO - WELLCARE |
| 271247400 | Medicaid | FL | — |
Copy-ready billing details
Provider: Pediatric Ent, LLC NPI: 1508002072 Taxonomy: 207YP0228X (Pediatric Otolaryngology Physician) Address: 1499 S HARBOR CITY BLVD STE 303, Melbourne, FL, 32901
Verify this record
Cross-check NPI 1508002072 against the authoritative CMS record: view Pediatric Ent, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pediatric Ent, LLC?
Who is the authorized official for Pediatric Ent, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-04-18.