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Marathon Health LLC — NPI 1629601695, Ponte Vedra, FL | NPI Central

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NPI 1629601695

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Marathon Health LLC

NPI 1629601695 · General Practice Physician · Ponte Vedra, FL

Provider details

NPI number: 1629601695
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Parent organization: Marathon Health LLC
Organization subpart: Yes
Authorized official: Jerry Ford, Ceo(802) 857-0400

Specialties & taxonomies

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians

Practice location

10430 Ray Rd

Ponte Vedra, FL 32081-8813

Phone: (904) 671-8329

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

Po Box 5

Winooski, VT 05404-0005

Other names (DBA / former)

Other name: St Johns Nease

Registry dates

Enumerated: 2020-02-19
Last updated: 2020-02-19
Certified: 2020-02-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.