Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Florida ENT Adult & Pediatrics, PA

Organization Medical Physician Assistant · NPI 1972905099

Florida ENT Adult & Pediatrics, PA provides Medical Physician Assistant services in Kissimmee, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 343-9006
Fax: (407) 343-0999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAT 9108176 (FL)

Record details

NPI number1972905099
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Fadhli — Owner · (407) 343-9006
NPI enumeratedSeptember 19, 2014
Last updated in NPPESSeptember 19, 2014
Mailing address1162 Cypress Glen Cir, Kissimmee, FL 34741-7560

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