# MARATHON HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARATHON HEALTH, INC.
- **Other names:** Marathon Health at Ft. Lauderdale
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477983930
- **Legal business name:** MARATHON HEALTH, INC.
- **Authorized official:** JERRY FORD (CEO)
- **Authorized official phone:** (802) 857-0400

## Contact information

- **Practice address:** 4750 N FEDERAL HWY STE 300, FORT LAUDERDALE, FL 33308-4609
- **Practice address phone:** (754) 206-2420
- **Mailing address:** 20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404-2228
- **Mailing address phone:** (802) 857-0400
- **Mailing address fax:** (802) 857-0498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | — | — |

## Other

- **Enumeration date:** 11/20/2013
- **Last updated:** 02/09/2021
