| Marathon Health Llc | |
|
10430 Ray Rd Ponte Vedra FL 32081-8813 | |
| (904) 671-8329 | |
| Not Available |
| Full Name | Marathon Health Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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