| Marathon Health At Brevard Central | |
|
2694 Judge Fran Jamieson Way C/o Brevard Wellcare- Central Melbourne FL 32940 | |
| (321) 252-1169 | |
| (321) 989-0316 |
| Full Name | Marathon Health At Brevard Central |
|---|---|
| Speciality | General Practice |
| Location | 2694 Judge Fran Jamieson Way, Melbourne, Florida |
| Authorized Official Name and Position | Jerry Ford (CEO) |
| Authorized Official Contact | 8028570400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon Health At Brevard Central 20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 Ph: (802) 857-0400 | Marathon Health At Brevard Central 2694 Judge Fran Jamieson Way C/o Brevard Wellcare- Central Melbourne FL 32940 Ph: (321) 252-1169 |
| NPI Number | 1356883771 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356883771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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