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Pediatric Ent, LLC

Pediatric Otolaryngology Physician in Melbourne, FL · enumerated 2009 · authorized official David Malis, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508002072

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Registry record

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
Fax (321) 254-4543
Enumeration date Jan 5, 2009
Last updated in NPPES Apr 18, 2014

Taxonomy & classification

207YP0228X Pediatric Otolaryngology Physician Allopathic & Osteopathic Physicians · License ME90348 (FL) Primary

Authorized official

Name David Malis
Title Manager

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 -

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.

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Frequently asked questions

What is the NPI number for Pediatric Ent, LLC?
The NPI for Pediatric Ent, LLC is 1508002072, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Ent, LLC?
NPPES lists David Malis (Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-18.