Organization
MARATHON HEALTH, INC.
Active
Parent organization
MARATHON HEALTH, INC.
Other names
Marathon Health at Brevard Central
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, INC.
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
2694 JUDGE FRAN JAMIESON WAY, C/O BREVARD WELLCARE- CENTRAL, MELBOURNE, FL 32940
(321) 252-1169
(321) 989-0316
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0400
(802) 419-4876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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