FAMILY ENT & AUDIOLOGY – NPI #1508002072
Otolaryngology

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.

FAMILY ENT & AUDIOLOGY is an otolaryngologist located in MELBOURNE, FL. NPPES has assigned the NPI number 1508002072 to FAMILY ENT & AUDIOLOGY on January 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY ENT & AUDIOLOGY” is a dba name, the actual legal business name for this organization is PEDIATRIC ENT, LLC. The primary taxonomy selected by this provider is 207YP0228X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Pediatric Otolaryngology

The NPI profile was previously updated about 12 years ago on Apr 18, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY ENT & AUDIOLOGY below.

NPI Profile for
PEDIATRIC ENT, LLC

NPI Number
1508002072
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC ENT, LLC
Doing Business As (dba): FAMILY ENT & AUDIOLOGY
Primary location
1499 S HARBOR CITY BLVD STE 303
MELBOURNE, FL 32901-3245
Phone: (321) 254-5437 Fax: (321) 254-4543
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID MALIS
MANAGER
Phone: (321) 254-5437
Updated
Identifiers

Identifiers for FAMILY ENT & AUDIOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAID HMO - AMERIGROUPFL01269821
OTHERMEDICAID HMO - UNITED HEALTH CAREFL2258392
OTHERMEDICAID HMO - WELLCAREFL332181
MEDICAIDFL271247400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YP0228X
- Otolaryngology / Pediatric Otolaryngology (Primary)
FL ME90348

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.