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Ear, Nose, and Throat in Orlando, FL
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Welcome to Our Practice
Pediatric ENT in Orlando, FL

At Children's Ear, Nose, Throat & Allergy, our mission is to provide the best care to infants, children and adolescents with conditions affecting the head and neck. CENTA is the premier otolaryngology practice in Central Florida exclusively dedicated to the care of children. Named among Best Doctors in America for over 10 years, Dr. James Kosko, Dr. Cheryl Cotter, Dr. Eric Jaryszak and Dr. Joshua Gottschall are all fellowship-trained pediatric otolaryngologists with over 70 years of combined surgical experience with training from Johns Hopkins, Harvard Medical School, George Washington University, and the University of Florida.

CENTA's physicians are all members of the American Society of Pediatric Otolaryngology, the only professional society which recognizes excellence in this field. CENTA's physicians are also Board-certified by the American Board of Otolaryngology. They are fellows of the American Academy of Otolaryngology-Head and Neck Surgery, the American Academy of Pediatrics and the American College of Surgeons.

CENTA's physicians are dedicated to advancing the care of children in the Central Florida Area. They are active members of the Surgical Departments at Arnold Palmer Hospital for Children and the Walt Disney Pavilion at Florida Hospital for Children. They serve as pediatric otolaryngology consultants on many multidisciplinary teams, including the cleft palate and craniofacial teams, cochlear implant team and aerodigestive and swallowing disorder clinic.


    "Visiting with Ear Nose and Throat has been a breath of fresh air"

    Chris Fitzsimmons

    Everyone here was very friendly and so sweet they were so patient with my son who is asd and were so good at explaining things to me and asking for my input. Very awesome

    M, Tyler Brennen ​

    I am very happy with Dr. Kosko. He has been very compassionate towards my child with Down Syndrome and is helping her be more comfortable and doing what is not only necessary but what is best. I appreciate him being very thorough in his explanations and also being realistic.

    Chelsea J.

    Everyone is this practice is fantastic!

    Keltie T.

    Great experience... We are very pleased that we chose Dr Jaryszak to perform the reconstruction of our daughter's eardrum/middle ear. He was very honest, very professional, and of all very kind. The staff at the surgical center were all extremely caring and made my daughter feel at ease :)

    S. Dana & Eric

    Such a easy process to get in and out with a small child. Staff does a wonderful job.

    Frank B.

    The experience I have had with both of my sons with this practice is amazing. The staff and Drs are wonderful. Everyone is very friendly. I would highly recommend this office. Thank you guys for everything!

    Lindsey S.

    First time patient..Things were easy and everything was explained. A care plan was created. Awesome staff.

    Kathleen P.

    The team is awsome . Get us in quick and we spend enough time with the doctor. We are always out before 45 mins . I love it !

    Verified Reviewer.

    We have a great experience in children Ears Nose and Throat Associates Orlando; They did Tonsillectomy and my son is feeling great.

    Erica P. ​

Our Staff

  • Meet Our Staff

    We want your visit to our office to be a pleasant one. Everyone has been trained as a professional and we take pride in our ability to serve your children. We look forward to a mutually satisfactory relationship.


  • Cheryl S. Cotter
    Pediatric ENT in Orlando, FL

    Dr. Cheryl Smith Cotter graduated with High Honors and received her Bachelor of Science degree in Biological Science at the University of Florida in 1987. She completed medical school with High Honors at the University of Florida in 1990 and remained there in the Department of Otolaryngology-Head and Neck Surgery for her residency in Otolaryngology. In 1995 she moved to Boston to complete a pediatric otolaryngology fellowship through Harvard Medical School at Children's Hospital in Boston, Massachusetts. 

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  • James Kosko
    Medical Director in Orlando, FL

    Dr. James Kosko was born in Pittsburgh, PA. He is a fourth generation steel worker and was a union member prior to his medical career. He graduated with a BS degree in Pre-Med from Penn State University where he was a varsity letterman. He received his MD degree from the University of Pittsburgh. He completed his Otolaryngology training at the Eastern Virginia Medical School in Norfolk, VA. Dr. Kosko moved to Baltimore in 1995 to pursue a Pediatric Otolaryngology fellowship at the Johns Hopkins Medical School.

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  • Eric Jaryszak
    M.D., Ph.D.
    Pediatric ENT in Orlando, FL

    Dr. Eric Jaryszak was born in Hammond, Indiana. He grew up in the Midwest, attending Wabash College where he was a Cum Laude graduate with a double major in Chemistry and Mathematics. He was a four-time letterman in basketball where he was a member of 2 NCAA tournament and conference championship teams. He completed a combined M.D./Ph.D. program at the Indiana University School of Medicine in 2004 where he was awarded membership in the Alpha Omega Alpha Honor Medical Society. His research in pulmonary physiology has been presented on an international level.

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  • Joshua Gottschall
    Pediatric ENT in Orlando, FL

    Dr. Joshua Gottschall grew up in Long Island, New York. He attended the University of Florida where he graduated with honors and earned a Bachelor of Science in Microbiology in 1995. He was awarded a Medical Doctorate at the State University of New York, Downstate College of Medicine in 1999.

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  • Brianne N. Loomis
    Audiologist in Orlando, FL

    Dr. Loomis was born and raised in south Florida. She graduated from the University of Florida in 2002 with her Bachelor of Arts in Communication Sciences and Disorders. While at the University of Florida, she played trumpet in the Fightin' Gator Marching Band. Her musical background played a major role in her decision to focus her studies on hearing science. She earned her Doctorate in Audiology at Northwestern University in Evanston, Illinois. In 2005, Dr. Loomis returned to Florida to complete her clinical externship in audiology at Arnold Palmer Hospital for Children in Orlando.

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  • Jennie M. Chiles
    Au.D., CCC-A
    Audiologist in Orlando, FL

    Dr. Chiles has been practicing as a pediatric audiologist for 6 years. She was born and raised in South Florida and is a fluent, native speaker of Spanish. Dr. Chiles is a proud alumna of the University of Central Florida, from which she received her Bachelor of Arts degree in Communicative Disorders, as well as certificates in Spanish Translation/Interpretation and American Sign Language. She went on to obtain her Doctor of Audiology degree from the University of South Florida, where her student training included a wide variety of clinical settings in the Tampa Bay area, including All Children's Hospital outpatient center. It was this experience that sparked her passion of working with children.

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  • Jennifer Aranda
    Director of Implant Audiology in Orlando, FL

    Dr. Aranda was born in San Juan, Puerto Rico. She was raised in Gainesville, Florida. She graduated from the University of Florida in 2012 with a Bachelor's of Health Science in Public Health and Health Professions. She earned her Doctorate of Audiology at the University of Florida in 2017. She completed her clinical externship in Audiology at the UF Health Speech and Hearing Center.

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  • Shawna Hancock

    Shawna was born and raised in Central Florida. Since she was a young child, her dream was to work in pediatrics, following in the footsteps of her beloved pediatrician, Dr. Carter. 

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  • Kayse McGovern

    Kayse was raised in Massachusetts, where she completed both her undergraduate and graduate degrees. She completed her nursing degrees at MGH Institute of Health Professions in Boston. Kayse graduated from both her undergraduate and graduate programs with highest honors, then spent her first three years as a Pediatric Nurse Practitioner as an Active Duty Air Force member stationed at Hill Air Force Base in Utah. After completion of her Air Force commitment and separating from her military duties honorably, she and her husband moved from Utah to Florida to embark on a new adventure.

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  • Gina O’Connor

    Gina was born and raised in South Florida, before moving to Orlando to attend college at the University of Central Florida. After graduating with her BSN in 2005, she started her nursing career in the ICU and loved the challenge of caring for critically ill patients. After a few years, she joined the NICU team at Winnie Palmer Hospital and spent nearly 5 years caring for premature and critically ill infants and assisting in high risk deliveries.

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Contact Us

Our Location

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Get to Know Us

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Metro West Office

1507 S Hiawassee Rd

Orlando, FL 32835

Maitland Office

790 Concourse Parkway S

Maitland, FL 32751

Lake Nona Office

9679 Lake Nona Village Place

Suite 105

Orlando, FL 32827

Office Hours


8:00 am-4:30 pm


8:00 am-4:30 pm


8:00 am-4:30 pm


8:00 am-4:30 pm


8:00 am-12:00 pm