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Organization
MARATHON HEALTH, LLC
Active
Organization
MARATHON HEALTH, LLC
Active
Parent organization
MARATHON HEALTH, LLC
Other names
Marathon Health- CHG- Boca
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
4700 EXCHANGE CT, BOCA RATON, FL 33431-4450
(561) 862-0051
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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