| Island Weight Loss | |
|
1365 N Courtenay Pkwy Merritt Island FL 32953-4405 | |
| (321) 453-2410 | |
| Not Available |
| Full Name | Island Weight Loss |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 1365 N Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Patricia Jane Lauria (PRESIDENT) |
| Authorized Official Contact | 3214532410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Weight Loss 1365 N Courtenay Pkwy Merritt Island FL 32953-4405 Ph: (321) 453-2410 | Island Weight Loss 1365 N Courtenay Pkwy Merritt Island FL 32953-4405 Ph: (321) 453-2410 |
| NPI Number | 1023581576 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 01/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023581576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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