# NAUTILUS HEALTH CARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013234699
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
- **Practice address phone:** (765) 456-5433
- **Practice address fax:** (877) 496-2102
- **Mailing address:** PO BOX 645743, CINCINNATI, OH 45264-6018
- **Mailing address phone:** (855) 689-5105
- **Mailing address fax:** (877) 496-2102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | 01059975A | IN | — |
| 207NS0135X | Procedural Dermatology Physician | 01059975A | IN | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 01059975A | IN | Yes |

## Other

- **Enumeration date:** 04/22/2010
- **Last updated:** 06/01/2023