MARATHON HEALTH LLC
NPI 1548892961
General Practice in St Augustine, FL

Q: What is Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1548892961. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is also known as St Johns O'Connell Health Center.

Q: What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 05, 2020

3740 INTERNATIONAL GOLF PKWY STE 100, ST AUGUSTINE, FL 32092(904) 671-8333 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Marathon Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARATHON HEALTH LLC (NPI 1548892961) is a healthcare organization registered as a general practice in St Augustine, Florida and active in the NPI registry since February 2020. The organization lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548892961

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMARATHON HEALTH LLC

Location Address3740 INTERNATIONAL GOLF PKWY STE 100St Augustine, FL 32092-0665

Mailing AddressPo Box 5Winooski, VT 05404-0005

Phone(904) 671-8333

Organization SubpartYes

Authorized OfficialJerry FordCeo · (802) 857-0400

Enumeration DateFebruary 5, 2020

✔ NPI 1548892961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3740 INTERNATIONAL GOLF PKWY STE 100, St Augustine, FL 32092

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Other Names 1

Other NameSt Johns O'connell Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIE LYNN FLICK M.D.

Family Medicine

3740 INTERNATIONAL GOLF PKWY STE 100
ST AUGUSTINE, FL 32092

St. Johns County (904) 671-8333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marathon Health LLC's NPI number?

The NPI number for Marathon Health LLC is 1548892961. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is also known as St Johns O'Connell Health Center.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 3740 International Golf Pkwy Ste 100, St Augustine, FL 32092. The listed phone number is (904) 671-8333.

What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Marathon Health LLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.