OrganizationActive
Island Weight Loss
NPI 1366925588 · Clinic/Center · Merritt Island, FL
Provider details
- NPI number
- 1366925588
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Lauria, President(321) 453-2410
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1365 N Courtenay Pkwy Ste D
Merritt Island, FL 32953-4405
Phone: (321) 453-2410
Street-level locationGet directions
Mailing address
1365 N Courtenay Pkwy Ste D
Merritt Island, FL 32953-4405
Registry dates
- Enumerated
- 2018-09-13
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.