Island Weight Loss

NPI #1023581576 in Merritt Island, Florida

Provider Information

NPI Number
1023581576
Entity Type
Organization
Organization Name
Island Weight Loss
Subpart
Yes (part of a larger organization)
Parent Organization
ISLAND WEIGHT LOSS
Primary Specialty
Family Medicine - Obesity Medicine
Enumeration Date
Jan 8, 2019
Last Updated
Jan 8, 2019

Practice Location

Address
1365 N COURTENAY PKWY
State
Florida
ZIP Code
32953-4405
Phone
(321) 453-2410

Authorized Official

Name
MS. PATRICIA JANE LAURIA
Title
PRESIDENT
Phone
(321) 453-2410

Specialties & Taxonomy Codes

Specialty
Family Medicine - Obesity MedicineObesity Medicine

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