MARATHON HEALTH, INC. (NPI# 1356883771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356883771 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, INC. |
| Other Organization Name | MARATHON HEALTH AT BREVARD CENTRAL |
| Practice Address |
2694 Judge Fran Jamieson Way C/o Brevard Wellcare- Central Melbourne FL 32940 |
| Mailing Address |
20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 |
| Practice Telephone | 3212521169 |
| Practice Fax Number | 3219890316 |
| Mailing Telephone | 8028570400 |
| Mailing Fax Number | 8024194876 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | JERRY FORD (CEO) |
| Authorized Official Telephone | 8028570400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARATHON HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marathon Health at Brevard Central | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861842155 | Marathon Health, Inc. | Nurse Practitioner | 801 Meadows Rd Ste 102, C/o Brrh Employee Health Center, Boca Raton, FL 33486-2346 | 2016-06-16 |
| 1649629478 | Marathon Health, Inc. | General Practice | 108 West 17th Street, C/o Cargill Employee Health Center, Schuyler, NE 68661-1304 | 2016-06-13 |
| 1699149559 | Marathon Health, Inc. | Nurse Practitioner | 2530 W Broadway St, C/o Boar's Head Employee Health Center, Forrest City, AR 72335-4403 | 2015-11-16 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| 1598176455 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 121 S 13th St, C/o Nelnet Health Center, Lincoln, NE 68508-1904 | 2014-05-14 |
| 1598180226 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 3655 Nw 87th Ave, C/o Carnival Health Center, Doral, FL 33178-2418 | 2014-03-05 |
| 1023451143 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 4400 Highway 30 E, C/o Baldwin Filters Health Center, Kearney, NE 68847-9797 | 2013-04-08 |
| 1861795734 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 100 N Babcock St, Melbourne, FL 32935-6715 | 2010-12-14 |
| 1033412903 | Marathon Health, Inc. | Non-Pharmacy Dispensing Site | 1110 W Hibiscus Blvd, Melbourne, FL 32901-2704 | 2010-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARATHON HEALTH, INC. | 20 Winooski Falls Way, Suite 400, Winooski, Vermont 05404 |
| Vermont Business Registrations | MARATHON HEALTH, INC. | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 |
| Oregon Corporations, Companies and Business Names | MARATHON HEALTH, INC. | 20 Winooski Falls Way Ste 400, Winooski, VT 5404 |
| Street Address |
2694 JUDGE FRAN JAMIESON WAY C/O BREVARD WELLCARE- CENTRAL |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922327774 | Angela Matthews | Family Medicine | 2694 Judge Fran Jamieson Way, Overflow Parking Lot, Melbourne, FL 32940 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836361 | Space Coast Health Care Network | General Practice | 1344 S Apollo Blvd Ste 303, Melbourne, FL 32901-3185 | 2018-10-08 |
| 1750899837 | Nu-me Medical Clinic Inc | General Practice | 3150 N Wickham Rd Ste 9, Melbourne, FL 32935-2322 | 2018-01-11 |
| 1629520606 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd Ste 104, Melbourne, FL 32940-8257 | 2016-10-26 |
| 1700256450 | Medi Melbourne LLC | General Practice | 7630 N Wickham Rd, Suite 104, Melbourne, FL 32940-8257 | 2015-10-06 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1275008716 | Central Florida Wellness LLC | General Practice | 1800 W Hibiscus Blvd Ste 131, Melbourne, FL 32901-2633 | 2018-10-11 |
| 1568851632 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2015-01-13 |
| 1629476098 | C & C Healthcare LLC | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2014-12-16 |
| 1033456959 | Linette Cintron-medina | General Practice | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-01-11 |
| 1134371933 | Omnihealthcare Inc | General Practice | 95 Bulldog Blvd, Suite 202, Melbourne, FL 32901-3188 | 2008-10-13 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.