Marathon Health Llc | |
10430 Ray Rd Ponte Vedra FL 32081-8813 | |
(904) 671-8329 | |
Not Available |
Full Name | Marathon Health Llc |
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Speciality | General Practice |
Location | 10430 Ray Rd, Ponte Vedra, 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 |
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Marathon Health Llc Po Box 5 Winooski VT 05404-0005 Ph: (802) 857-0400 | Marathon Health Llc 10430 Ray Rd Ponte Vedra FL 32081-8813 Ph: (904) 671-8329 |
NPI Number | 1629601695 |
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Provider Enumeration Date | 02/19/2020 |
Last Update Date | 02/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629601695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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