Island Weight Loss

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

ISLAND WEIGHT LOSS

Practice address

1365 N Courtenay Pkwy
Merritt Island, FL 32953-4405

Phone

(321) 453-2410

NPI assigned

Jan 8, 2019

Organization subpart

Yes

Parent organization

ISLAND WEIGHT LOSSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patricia Jane Lauria

Title

President

Phone

(321) 453-2410

Specialties & licenses 1

Addresses

Tax ID family

Island Weight Loss2 organizations share this tax ID, including this one

Part of

Island Weight Loss

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Island Weight Loss

  • Clinic/Center
  • Merritt Island, FL
  • NPI 1366925588
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Island Weight Loss

  • Clinic/Center
  • Merritt Island, FL
  • NPI 1366925588
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1023581576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534405",
            "telephone_number": "321-453-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534405",
            "telephone_number": "321-453-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WEIGHT LOSS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND WEIGHT LOSS",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "LAURIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-453-2410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Irwin, COTA/L
• Island Bracing, LLC
• Island Direct Primary Care LLC
• Island Family Health LLC
• Island Operating LLC (Space Coast Healthcare and Rehabilitation Center)
• Island Weight Loss
• Izak, LLC (Avid Home Care Services)
• Morgan Jackson, PA-C
• Cheryl Jacobs
• Mary Jacobsen, LPN

• Obesity Medicine (Family Medicine) Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Obesity Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.