| Marathon Health Llc | |
|
3740 International Golf Pkwy Ste 100 St Augustine FL 32092-0665 | |
| (904) 671-8333 | |
| Not Available |
| Full Name | Marathon Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 3740 International Golf Pkwy Ste 100, St Augustine, 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: () - | Marathon Health Llc 3740 International Golf Pkwy Ste 100 St Augustine FL 32092-0665 Ph: (904) 671-8333 |
| NPI Number | 1548892961 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548892961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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