MARATHON HEALTH INC. NPI 1356883771

NPI Information

  • NPI: 1356883771
  • Provider Name: MARATHON HEALTH, INC.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: MARATHON HEALTH AT BREVARD CENTRAL
  • Address: 2694 JUDGE FRAN JAMIESON WAY
    C/O BREVARD WELLCARE- CENTRAL
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 252-1169

Map and Directions

Get Directions

NPI Details

MARATHON HEALTH, INC. is a general practice in Melbourne, FL. The provider is 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 MARATHON HEALTH, INC. NPI is 1356883771. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Marathon Health At Brevard Central.

The provider's business location address is:

2694 JUDGE FRAN JAMIESON WAY
C/O BREVARD WELLCARE- CENTRAL
MELBOURNE, FL
ZIP 32940
Phone: (321) 252-1169
Fax: (321) 989-0316

The provider's authorized official is Jerry Ford .
The authorized official title is Ceo and has the following contact phone number (802) 857-0400.

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI