MARATHON HEALTH, LLC – NPI #1942740675
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MARATHON HEALTH, LLC is a provider located in TITUSVILLE, FL. NPPES has assigned the NPI number 1942740675 to MARATHON HEALTH, LLC on February 28, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MARATHON HEALTH, LLC is also known by the name MARATHON HEALTH AT BREVARD NORTH. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARATHON HEALTH, LLC below.

NPI Profile for
MARATHON HEALTH, LLC

NPI Number
1942740675
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARATHON HEALTH, LLC
Other Name: MARATHON HEALTH AT BREVARD NORTH
Primary location
1505 KNOX MCRAE DRIVE
C/O BREVARD WELLCARE- NORTH
TITUSVILLE, FL 32780
Phone: (802) 857-0400 Fax:
Mailing address
20 WINOOSKI FALLS WAY
STE. 400
WINOOSKI, VT 05404-2228
Phone: (802) 857-0400 Fax:
Organization Subpart
Yes - MARATHON HEALTH, LLC is subpart of another organization.
Authorized Official
JERRY FORD
CEO
Phone: (802) 857-0400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.