Island Weight Loss

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ISLAND WEIGHT LOSS

Practice address

1365 N Courtenay Pkwy Ste D
Merritt Island, FL 32953-4405

Phone

(321) 453-2410

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Patricia 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

Other organizations with this tax ID 1

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

• Island Weight Loss

  • Obesity Medicine (Family Medicine) Physician
  • Merritt Island, FL
  • NPI 1023581576
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Island Weight Loss

  • Obesity Medicine (Family Medicine) Physician
  • Merritt Island, FL
  • NPI 1023581576
  NPPES parent name

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1366925588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 N COURTENAY PKWY STE D",
            "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 STE D",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534405",
            "telephone_number": "321-453-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "LAURIA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-453-2410"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Jahbless Phlebotomy Services LLC

• Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.