# NAUTILUS HEALTH CARE GROUP, LLC

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

## Provider details

- **NPI number:** 1023788569
- **Authorized official:** DENISE TIENCKEN (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 11371 CORTEZ BLVD STE 134, BROOKSVILLE, FL 34613-5408
- **Practice address phone:** (352) 606-7182
- **Practice address fax:** (352) 606-7482
- **Mailing address:** 5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
- **Mailing address phone:** (904) 446-3686
- **Mailing address fax:** (904) 446-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 06/01/2023