MARATHON HEALTH AT BREVARD SOUTH
NPI 1598205221
General Practice in West Melbourne, FL

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

The NPI number for Marathon Health, LLC is 1598205221. It was assigned to this organization in the NPPES registry on February 28, 2017. The provider is also known as Marathon Health At Brevard South.

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 28, 2017

2550 WINGATE BOULEVARD, C/O BREVARD WELLCARE- SOUTH, WEST MELBOURNE, FL 32904(802) 857-0400 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marathon Health At Brevard South NPPES

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

MARATHON HEALTH AT BREVARD SOUTH (NPI 1598205221) is a healthcare organization registered as a general practice in West Melbourne, Florida and active in the NPI registry since February 2017. The organization lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598205221

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMARATHON HEALTH, LLC

Location Address2550 WINGATE BOULEVARD, C/O BREVARD WELLCARE- SOUTHWest Melbourne, FL 32904

Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239 · (802) 857-0434

Phone(802) 857-0400

Organization SubpartYes

Authorized OfficialJerry FordCeo · (802) 857-0400

Enumeration DateFebruary 28, 2017

✔ NPI 1598205221 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

2550 WINGATE BOULEVARD, West Melbourne, FL 32904

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Other Names 1

Other NameMarathon Health At Brevard South

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

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 1598205221. It was assigned to this organization in the NPPES registry on February 28, 2017. The provider is also known as Marathon Health At Brevard South.

Where is Marathon Health, LLC located?

Marathon Health, LLC is located at 2550 Wingate Boulevard C/O Brevard Wellcare- South, West Melbourne, FL 32904. The listed phone number is (802) 857-0400.

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 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.