| NPI | 1356883771 |
|---|---|
| Other Name | MARATHON HEALTH AT BREVARD CENTRAL |
| Entity Type | Organization |
| Authorized Contact | JERRY FORD CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |