| NPI | 1588180442 |
|---|---|
| Other Name | MARATHON HEALTH- CHG- FORT LAUDERDALE |
| Entity Type | Organization |
| Authorized Contact | JERRY FORD CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-02-08 |