Organization
MARATHON HEALTH, INC.
Active
Parent organization
MARATHON HEALTH, INC.
Other names
Marathon Health at Carnival
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
3655 NW 87TH AVE, C/O CARNIVAL HEALTH CENTER, DORAL, FL 33178-2418
(305) 406-8375
Mailing address
20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404-2228
(802) 857-0400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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