Organization
NAUTILUS HEALTH CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M. VAZQUEZ D.O. (PRESIDENT)
(727) 642-4183
Entity
Organization
Contact information
Practice address
5220 BELFORT RD S, STE 130, JACKSONVILLE, FL 32256
(727) 867-5480
(888) 507-9833
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256
(904) 446-3701
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
OS5236
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
OS5236
FL
208800000X
Urology Physician
OS5236
FL
Other
Enumeration date
12/14/2009
Last updated
07/30/2013
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