MARATHON HEALTH LLC NPI 1952827818

NPI Information

  • NPI: 1952827818
  • Provider Name: MARATHON HEALTH, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: MARATHON HEALTH- CHG- BOCA
  • CLIA Number: 36D2225501
  • Address: 4700 EXCHANGE CT
    BOCA RATON, FL
    ZIP 33431
  • Phone: (561) 862-0051

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NPI Details

MARATHON HEALTH, LLC is a family nurse practitioner in Boca Raton, FL. MARATHON HEALTH, LLC NPI is 1952827818. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Marathon Health- Chg- Boca.

The provider's business location address is:

4700 EXCHANGE CT
BOCA RATON, FL
ZIP 33431-450
Phone: (561) 862-0051

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 CLIA number assigned to this NPI record is 36D2225501 - other - onsite health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2017 and was last updated on 8/22/2017.

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
1363LF0000XNurse PractitionerFamilyYes

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

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