| Marathon Health At Brevard North | |
|
1505 Knox Mcrae Drive C/o Brevard Wellcare- North Titusville FL 32780 | |
| (802) 857-0400 | |
| Not Available |
| Full Name | Marathon Health At Brevard North |
|---|---|
| Speciality | General Practice |
| Location | 1505 Knox Mcrae Drive, Titusville, 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 North 20 Winooski Falls Way Ste. 400 Winooski VT 05404-2228 Ph: (802) 857-0400 | Marathon Health At Brevard North 1505 Knox Mcrae Drive C/o Brevard Wellcare- North Titusville FL 32780 Ph: (802) 857-0400 |
| NPI Number | 1942740675 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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