Family Ent & Audiology
LBN: Pediatric Ent, Llc
Family Ent & Audiology is an health care organization with primary practice located at 1499 S Harbor City Blvd Ste 303 , Melbourne FL 32901-3245. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as the primary health care specialty.
Pediatric Ent, Llc can be contacted via phone (321) 254-5437, or through Malis, David Joel via phone (321) 254-5437.
Contact Information
Primary practice address
1499 S Harbor City Blvd Ste 303
Melbourne FL 32901-3245
Phone: (321) 254-5437
Fax: (321) 254-4543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ME90348 | Florida |
Profile Details
| NPI number | 1508002072 |
|---|---|
| LBN Legal business name | Pediatric Ent, Llc |
| DBA Doing business as | Family Ent & Audiology |
| Authorized official | Malis, David Joel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2009 |
| Last updated | Apr 18th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508002072 | NPPES |
| Florida | Other | 01269821 | MEDICAID HMO - AMERIGROUP |
| Florida | Other | 2258392 | MEDICAID HMO - AMERIGROUP |
| Florida | Other | 332181 | MEDICAID HMO - AMERIGROUP |
| Florida | MEDICAID | 271247400 | MEDICAID HMO - AMERIGROUP |
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