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MARATHON HEALTH AT BREVARD NORTH
NPI 1942740675
General Practice in Titusville, FL

Active since February 28, 2017
1505 KNOX MCRAE DRIVE, C/O BREVARD WELLCARE- NORTH, TITUSVILLE, FL 32780(802) 857-0400 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marathon Health At Brevard North NPPES

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

MARATHON HEALTH AT BREVARD NORTH (NPI 1942740675) is a healthcare organization registered as a general practice in Titusville, Florida and active in the NPI registry since February 2017. The organization lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942740675
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMARATHON HEALTH, LLC
Location Address1505 KNOX MCRAE DRIVE, C/O BREVARD WELLCARE- NORTHTitusville, FL 32780
Mailing Address20 Winooski Falls Way, Ste. 400Winooski, VT 05404-2228 · (802) 857-0400
Phone(802) 857-0400
Organization SubpartYes
Authorized OfficialJerry FordCeo · (802) 857-0400
Enumeration DateFebruary 28, 2017
✔ NPI 1942740675 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
1505 KNOX MCRAE DRIVE, Titusville, FL 32780
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Other Names 1

Other NameMarathon Health At Brevard North

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. SHAUN-PIERRE A GREGOIRE MD
Family Medicine
1505 KNOX MCRAE DRIVE
TITUSVILLE, FL 32780
Brevard County (321) 222-9070

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 1942740675. It was assigned to this organization in the NPPES registry on February 28, 2017. The provider is also known as Marathon Health At Brevard North.

Where is Marathon Health, LLC located?

Marathon Health, LLC is located at 1505 Knox Mcrae Drive C/O Brevard Wellcare- North, Titusville, FL 32780. 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.