Marathon Health, LLC

NPI #1598205221 in West Melbourne, Florida

Provider Information

NPI Number: 1598205221
Entity Type: Organization
Organization Name: Marathon Health, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MARATHON HEALTH, LLC
Primary Specialty: General Practice
Enumeration Date: Feb 28, 2017
Last Updated: Feb 28, 2017

Practice Location

Address: 2550 WINGATE BOULEVARD
Address 2: C/O BREVARD WELLCARE- SOUTH
City: West Melbourne
State: Florida
ZIP Code: 32904
Phone: (802) 857-0400

Authorized Official

Name: JERRY FORD
Title: CEO
Phone: (802) 857-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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