institution
Pediatric Ent, Llc
Pediatric Otolaryngology Physician in Melbourne, Florida
NPI 1508002072

Pediatric Ent, Llc is a Pediatric Otolaryngology Physician based in Melbourne, FL and is specialized in Pediatric Otolaryngology. Pediatric Ent, Llc practices in Melbourne, FL. The NPI Number for Pediatric Ent, Llc is 1508002072 and holds a License No. ME90348 (Florida).

The current practice location address for Pediatric Ent, Llc is 1499 S Harbor City Blvd Ste 303, Melbourne, FL and can be reached out via phone at 321-254-5437 and via fax at 321-254-4543. You can also correspond with Pediatric Ent, Llc through the mailing address at 1499 S HARBOR CITY BLVD STE 303, MELBOURNE, FL - 32901-3245 (mailing address contact number: 321-254-5437).

Location: 1499 S Harbor City Blvd Ste 303, Melbourne, FL, 32901-3245
institution
Provider Profile Details
NPI Number
1508002072
Provider Name
Pediatric Ent, Llc
Credential
Provider Entity Type
Organization
Address
1499 S Harbor City Blvd Ste 303, Melbourne, FL, 32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01269821 01 FL MEDICAID HMO - AMERIGROUP
2258392 01 FL MEDICAID HMO - UNITED HEALTH CARE
332181 01 FL MEDICAID HMO - WELLCARE
271247400 05 FL
institution
Provider Business Practice Location Address Details
Address
1499 S Harbor City Blvd Ste 303
City
State
Zip
32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
person
Provider Business Mailing Address Details
Address
1499 S Harbor City Blvd Ste 303
City
State
Zip
32901-3245
Phone Number
321-254-5437
Fax Number
321-254-4543
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
License No.
ME90348 (Florida)
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.
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