Organization
NAUTILUS HEALTH CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE TIENCKEN (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
11371 CORTEZ BLVD STE 134, BROOKSVILLE, FL 34613-5408
(352) 606-7182
(352) 606-7482
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3686
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
06/01/2023
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