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NPI Code Detail

MEDICARE: NAUTILUS HEALTH CARE GROUP LLC

MEDICARE: NAUTILUS HEALTH CARE GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered NurseN3910TX
2207NS0135XProcedural Dermatology PhysicianN3910TX
32083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) PhysicianN3910TX

General Provider Information

NPI Number : 1881923118
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAUTILUS HEALTH CARE GROUP LLC
Provider Business Mailing Address
First Line : PO BOX 530968
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33747-0968
Country : US
Telephone Number : 727-823-2188
Fax Number : 727-828-0723
Provider Business Practice Location Address
First Line : 211 E 7TH ST
Second Line : STE 620
City : AUSTIN
State : TX
Zip : 78701-3218
Country : US
Telephone Number : 727-867-5480
Fax Number : 727-867-5470
Authorized Official
Title or Position : CEO
Name : FRANK WILLIAMS
Credential :
Telephone Number : 904-446-3519
Provider Enumeration Date : 12/16/2009
Last Update Date : 06/01/2023

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Directions to “NAUTILUS HEALTH CARE GROUP LLC ” Practice Location

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