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MARATHON HEALTH LLC
NPI 1629601695
General Practice in Ponte Vedra, FL

Active since February 19, 2020
10430 RAY RD, PONTE VEDRA, FL 32081(904) 671-8329 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marathon Health Llc NPPES

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

MARATHON HEALTH LLC (NPI 1629601695) is a healthcare organization registered as a general practice in Ponte Vedra, Florida and active in the NPI registry since February 2020. The organization lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629601695
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMARATHON HEALTH LLC
Location Address10430 RAY RDPonte Vedra, FL 32081-8813
Mailing AddressPo Box 5Winooski, VT 05404-0005 · (802) 857-0400
Phone(904) 671-8329
Organization SubpartYes
Authorized OfficialJerry FordCeo · (802) 857-0400
Enumeration DateFebruary 19, 2020
✔ NPI 1629601695 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

10430 RAY RD, Ponte Vedra, FL 32081
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Other Names 1

Other NameSt Johns Nease

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 2

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

DR. MONIQUE Y JEFFERSON M.D.
Family Medicine
10430 RAY RD
PONTE VEDRA, FL 32081
St. Johns County (904) 671-8329
LISA JO STRAIGHT RNCS-FNP
General Practice
10430 RAY RD
PONTE VEDRA, FL 32081
St. Johns County (904) 671-8329

Frequently Asked Questions

What is MARATHON HEALTH LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629601695, enumerated as an "organization" on February 19, 2020.

Where is the provider located?

The provider is located at 10430 RAY RD PONTE VEDRA, FL 32081 and the phone number is (904) 671-8329.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.