EvolouEvolouMarketing Audit Report
Built on live data from Google, DataForSEO & PageSpeed Insights50+ med spa audits across Florida7-module analysis
Local SEO Audit

IVs in the Keys

ivsinthekeys.com·Key West, FL·April 12, 2026
58/100Grade: C
Map Pack Visibility40/100
Google Business Profile85/100
Keyword Rankings40/100
Technical Health60/100
Review Reputation65/100
Citation Health71/100
Executive Summary

IVs in the Keys has 644 reviews and a 5-star rating. However, your website takes 14.0 seconds to load on mobile — patients leave after 3. Fixing your site speed and Core Web Vitals would have the most immediate impact on rankings.

Revenue Opportunity
$4,500-$13,500/month
Missing keyword traffic
60 searches × 3% CTR × 10% conversion × $300 avg value
Not in map pack for 3 keywords
Map pack gets ~42% of clicks for local searches. Ranking in the 3-pack for even 1 keyword could add 5-15 new patients/month.

Map Pack Visibility

Where you appear when patients search Google Maps

Search TermYour Position#1 Ranking ClinicRatingReviews
IV therapy Key West #1IVs in the Keys5644
med spa Key West Not foundKey West Med Spa, PLLC4.950
weight loss Key West Not foundNew You Health Clinic PLLC526
wellness center Key West Not foundKey West Wellness Center4.841
hormone therapy Key West #10Signature Keys Medical551
Competitive Landscape

Divine Medical Spa is your strongest competitor — they appear in the map pack for 4 of 5 keywords, compared to your 2. However, you have the review advantage — 644 reviews vs their 391. They have 466 GBP photos vs your 42 — Google rewards businesses with more visual content.

Divine Medical Spa (4/5 keywords)Signature Keys Medical (3/5 keywords)KeyWest.Health (3/5 keywords)Under The Palms Medi-Spa (3/5 keywords)Key West Wellness Center (3/5 keywords)

Keyword Rankings

What patients are searching for — and whether they find you

KeywordMonthly SearchesCPCYour Position
IV therapy Key West320$5.70#4 Page 1
med spa Key West50$2.16Not ranking
weight loss Key West< 10#17 Page 2
wellness center Key West10Not ranking
hormone therapy Key West< 10Not ranking
Monthly Search Volume by Keyword
Ranking
Not ranking
380
Total monthly searches
60
Searches you’re missing
2/5
Keywords ranking

Google Business Profile

How complete and optimized your GBP listing is

1

Only 1 GBP categories set — competitors use 4-6

2

Photo count (42) is well below competitor average (116)

Review Count: You vs Competitors
How You Compare to Top Competitors
ClinicRatingReviewsPhotosClaimedBooking
IVs in the Keys (You)564442
IV Hydration Stations5391466
Divine Medical Spa4.88817
Hangover Hospital4.86549
Signature Keys Medical5514
Key West Med Spa, PLLC4.95044

Review Reputation

How your review presence compares to competitors

644
Total Reviews
5
Average Rating
15%
Response Rate
+11
Reviews (90 days)
Review Reputation: You vs Competitors
BusinessReviewsRatingResponse Rate
IVs in the Keys (You)644515%
New You Health Clinic PLLC2655%
Key West Med Spa, PLLC504.9100%
1Review response rate is 15.0% — less than half of reviews are getting a reply
2Average response time is 683 hours — too slow
3Response rate (15.0%) is significantly behind competitor average (52%)

Citation Health

Your presence across 11 major directories

7/11
Directories Found
71%
Citation Score
0
NAP Issues
Directory Presence
Google Business Profile
critical
Yelp
high
Facebook
high
BBB
high
Healthgrades
high
RealSelf
medium
Zocdoc
medium
Nextdoor
medium
Yellow Pages
low
Bing Places
low
MapQuest
low

Technical Health

Site speed, schema markup, and SEO fundamentals

Mobile
49/100
Performance
95/100
Accessibility
100/100
Best Practices
92/100
SEO
Desktop
75/100
Performance
92/100
SEO
LCP
14.0s
Largest Contentful Paint
CLS
0.000
Cumulative Layout Shift
FCP
8.0s
First Contentful Paint
TTI
14.0s
Time to Interactive
Schema Markup
WebSiteOrganizationLocalBusinessMedicalBusinessFAQPageServicePhysician
1

Mobile PageSpeed score is 49/100 — below 50 threshold

2

LCP is 14.0s — should be under 2.5s for good Core Web Vitals

3

Missing recommended schema types: MedicalBusiness, FAQPage, Service, Physician

4

89% of images are missing alt text

What You're Doing Right

The strengths this audit uncovered — build on these

5-star rating with 644 reviews
This is exceptional — you’re in the top tier for trust signals in your market.
Well-optimized Google Business Profile
Your GBP scores 85/100 — the foundation of your local presence is solid.
11 new reviews in the last 90 days
Healthy review velocity — fresh reviews signal to Google that your business is active.
Listed on 7 of 11 major directories
Good citation presence — this helps Google verify your business is legitimate.

Priority Issues

The most impactful things to fix right now

1

Only 1 GBP categories set — competitors use 4-6

2

Photo count (42) is well below competitor average (116)

3

Mobile PageSpeed score is 49/100 — below 50 threshold

4

LCP is 14.0s — should be under 2.5s for good Core Web Vitals

5

Missing recommended schema types: MedicalBusiness, FAQPage, Service, Physician

6

89% of images are missing alt text

7

Review response rate is 15.0% — less than half of reviews are getting a reply

What This Means for IVs in the Keys

In plain English — what's broken, how to fix it, and what you'll gain

You’re missing from the Google Maps 3-pack for 3 search terms

The problem: You're showing up in Google Maps for some searches, but you're missing from the top 3 for 3 of the 5 keywords we checked. Each missing keyword is a stream of patients going to competitors instead. Right now, Divine Medical Spa is showing up instead of you — across 4 different search terms.

The fix: Optimize your Google Business Profile — add more photos, post weekly updates, respond to all reviews, and ensure your categories match what patients are searching for. This tells Google you're an active, relevant business.

The outcome: The Google Maps 3-pack gets roughly 42% of all clicks for local searches. Getting into that top 3 for even one more keyword could bring in 5-15 new patient inquiries per month — without spending a dollar on ads.

You’re invisible for 60 monthly searches

The problem: People in Key West search Google 380 times every month for the services you offer. Your website doesn't appear for 3 of those keywords. Every one of those potential patients is finding your competitors instead.

The fix: Create dedicated pages on your website for each service you offer, optimized for what patients actually search. For example, a page specifically about “IV therapy Key West” with clear information about what you offer, pricing, and how to book.

The outcome: Even capturing 3% of that missed traffic and converting 10% to appointments means approximately 0 new patients per month — at an average patient value of $300, that's $0/month in additional revenue.

Your website is too slow — patients leave before it loads

The problem: Your website scores 49/100 on Google's speed test (mobile). Your main content takes 14.0 seconds to appear (Google recommends under 2.5 seconds). 53% of visitors abandon a site that takes more than 3 seconds to load.

The fix: Optimize images, remove unnecessary scripts, and improve server response time. These are standard technical fixes that any web developer can implement in a few days.

The outcome: A faster website means better Google rankings, fewer visitors leaving, and more patients completing bookings. Sites that improve from poor to good speed scores typically see a 15-25% increase in conversions.

Your Google Business Profile has gaps your competitors don’t

The problem: Only 1 GBP categories set — competitors use 4-6. Photo count (42) is well below competitor average (116). Your competitors have more complete profiles — more photos, more frequent posts, and more detailed service information. Google favors businesses with complete, active profiles.

The fix: Add at least 25+ high-quality photos (interior, team, services), post updates weekly, respond to every review within 24 hours, and add all relevant business categories and service descriptions.

The outcome: Businesses with complete Google profiles get 7x more clicks than those with incomplete ones. This is the single easiest fix with the highest return — it costs nothing but time.

Most of your Google reviews go unanswered

The problem: Only 15% of your Google reviews have a response from you. When you do respond, it takes an average of 28 days. Google uses review responses as a ranking signal — businesses that actively engage with reviews rank higher in local results. Potential patients also read your responses to judge how you treat clients. Your top competitors are responding to reviews at a higher rate than you.

The fix: Respond to every Google review within 24 hours — both positive and negative. Use personalized responses that mention specific details from the review (not copy-paste templates). Set up mobile notifications so no review goes unanswered.

The outcome: Businesses that respond to reviews are 1.7x more likely to be seen as trustworthy by potential patients. A 90%+ response rate within 24 hours signals to both Google and patients that you're an active, engaged business.

You're missing from 4 major directories

The problem: We checked 11 directories that matter for local SEO and patient discovery. You're only listed on 7 of them. You're missing from Healthgrades — these are high-priority directories that Google uses to verify your business exists and is legitimate.

The fix: Create or claim your listings on the missing directories, ensuring your business name, address, and phone number (NAP) are identical everywhere. Inconsistent information across directories confuses Google and hurts your local ranking.

The outcome: Consistent citations across directories are one of the top 5 local ranking factors. Businesses listed on all major directories see a 15-20% improvement in local search visibility. Each listing is also another way patients can find and contact you directly.

The bottom line

IVs in the Keys has the fundamentals — 644 reviews, a 5-star rating, and an established presence in Key West. But the digital marketing infrastructure isn't keeping up. The issues above aren't about your service quality — they're about whether patients can find you online. Fix these, and the patients will follow.

Your Action Plan

Prioritized by effort and impact — start at the top

1
Add all relevant business categories to your GBP (aim for 4-6)
10 minutesHigh impact
2
Respond to all unanswered Google reviews (current response rate: 15%)
1-2 hoursHigh impact
3
Create or claim listings on Healthgrades
1 hourMedium impact
4
Fix page load speed — main content takes 14.0s to appear (should be under 2.5s)
2-5 hoursHigh impact
5
Create dedicated service pages targeting: med spa Key West, wellness center Key West, hormone therapy Key West
1-2 daysHigh impact
6
Improve map pack visibility — missing from top 3 for 3 keywords
OngoingHigh impact
Implementation Package

Want us to fix everything in this report?

We'll implement every fix identified in this audit — Google Business Profile optimization, website technical fixes, schema markup, and content creation. Flat fee, no surprises.

What's included
  • GBP optimization (photos, hours, categories)
  • On-page SEO (titles, metas, headings, alt text)
  • Schema markup (LocalBusiness + Medical)
  • Core Web Vitals & speed improvements
  • Citation cleanup across 60+ directories
  • Competitor gap analysis & keyword strategy
  • Service pages for high-value keywords
  • Map Pack ranking & local visibility strategy
  • 100% Satisfaction Guarantee — If we don't implement every fix in this report, you don't pay. Simple as that.

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