| Marathon Health At Brevard South | |
|
2550 Wingate Boulevard C/o Brevard Wellcare- South West Melbourne FL 32904 | |
| (802) 857-0400 | |
| Not Available |
| Full Name | Marathon Health At Brevard South |
|---|---|
| Speciality | General Practice |
| Location | 2550 Wingate Boulevard, West 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 South 20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 Ph: (802) 857-0434 | Marathon Health At Brevard South 2550 Wingate Boulevard C/o Brevard Wellcare- South West Melbourne FL 32904 Ph: (802) 857-0400 |
| NPI Number | 1598205221 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598205221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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