Organization
NAUTILUS HEALTH CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WILLIAMS (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
(877) 496-2102
Mailing address
PO BOX 645743, CINCINNATI, OH 45264-6018
(855) 689-5105
(877) 496-2102
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
01059975A
IN
207NS0135X
Procedural Dermatology Physician
01059975A
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
01059975A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012090B
—
IN
01
—
DR0806
RAILROAD MEDICARE
IN
Enumeration date
04/22/2010
Last updated
06/01/2023
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