Organization
MARATHON HEALTH LLC
Active
Parent organization
MARATHON HEALTH LLC
Other names
St Johns O'Connell Health Center
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
3740 INTERNATIONAL GOLF PKWY STE 100, ST AUGUSTINE, FL 32092-0665
(904) 671-8333
Mailing address
PO BOX 5, WINOOSKI, VT 05404-0005
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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