NAUTILUS HEALTH CARE GROUP, LLC (NPI# 1174852560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174852560 |
| Entity Type | Organization |
| Organization Name | NAUTILUS HEALTH CARE GROUP, LLC |
| Practice Address |
5220 Belfort Rd S Ste 130 Jacksonville FL 32256 |
| Mailing Address |
5220 Belfort Rd Suite 130 Jacksonville FL 32256 |
| Practice Telephone | 7278675480 |
| Practice Fax Number | 8885079833 |
| Mailing Telephone | 9044463701 |
| Mailing Fax Number | 8885079833 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-07-30 |
| Authorized Official Name | PAUL M. VAZQUEZ (PRESIDENT) |
| Authorized Official Telephone | 7276424183 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
OS5236 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | OS5236 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
OS5236 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013234699 | Nautilus Health Care Group, LLC | Registered Nurse | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2010-04-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | NAUTILUS HEALTH CARE GROUP, LLC | 5220 Belfort Road, Suite 130, Jacksonville, FL 32256 |
| Street Address |
5220 BELFORT RD S STE 130 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609015544 | Brianne Luisa Peterson | Preventive Medicine | 5220 Belfort Rd Ste 130, Jacksonville, FL 32256-6018 | 2009-02-17 |
| 1902833569 | Lenka Zachar | Preventive Medicine | 3 Shircliff Way Ste 520, Jacksonville, FL 32204-4777 | 2006-06-27 |
| 1013913276 | Daniel M Hagan | Preventive Medicine | 3701 Henderson Dr, Jacksonville, NC 28546-5237 | 2005-06-22 |
| 1427058130 | Donald Scott Covington | Preventive Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659259 | Hyperbaric Associates of South Florida LLC | Preventive Medicine | 2866 E Oakland Park Blvd Ste 100, Ft Lauderdale, FL 33306-1815 | 2019-09-27 |
| 1780081034 | Hypermed, LLC | Preventive Medicine | 11501 Hutchison Blvd, Suite 109, Panama City Beach, FL 32407-3746 | 2014-12-02 |
| 1447536305 | Eliot Slater | Preventive Medicine | 2866 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1814 | 2011-10-24 |
| 1386958114 | Arnold H. Bierman | Preventive Medicine | 6200 Lee Vista Blvd, Suite 250, Orlando, FL 32822-5147 | 2010-08-04 |
| 1548435969 | Richard Fontanez Aldea | Preventive Medicine | 809 Cr 466, C-201, Lady Lake, FL 32159 | 2008-04-27 |
| 1629120373 | Paul W. Buza | Preventive Medicine | 1698 W. Hibiscus Blvd., Brevard Regional Hyperbaric Center, Melbourne, FL 32901 | 2007-01-16 |
| 1730242868 | Patrick Joseph Hennessey | Preventive Medicine | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2006-12-19 |
| 1235148743 | Allan M Spiegel | Preventive Medicine | 31608 Us 19 North, Palm Harbor, FL 34684 | 2006-08-05 |
| 1366407439 | Bradley William Hickey | Preventive Medicine | Naval Operational Medicine Institute, 220 Hovey Rd, Pensacola, FL 32508-1047 | 2006-04-20 |
| 1962467159 | John Arthur Bishop | Preventive Medicine | 13778 Plantation Road, Lee Wound Care & Hyperbaric Medicine, Fort Myers, FL 33912 | 2006-04-19 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on NAUTILUS HEALTH CARE GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.