Organization
MARATHON HEALTH, INC.
Active
Parent organization
MARATHON HEALTH, INC.
Other names
Marathon Health at DRS w. Hibiscus
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, INC.
Authorized official
MR. JERRY M FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
1110 W HIBISCUS BLVD, MELBOURNE, FL 32901-2704
(321) 309-0565
(321) 309-0567
Mailing address
354 MOUNTAIN VIEW DR, SUITE 300, COLCHESTER, VT 05446-5968
(802) 857-0400
(802) 655-3607
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
60 4021
FL
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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