| NPI | 1093039331 |
|---|---|
| Other Name | MARATHON HEALTH AT PLANTATION |
| Entity Type | Organization |
| Authorized Contact | JERRY M FORD CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |