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
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 676-2012
(321) 676-5674
Mailing address
PO BOX 645743, CINCINNATI, OH 45264-6018
(855) 689-5105
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262935600
—
FL
01
—
34279
BCBS
FL
01
—
CJ8845
RAILROAD MEDICARE
FL
Enumeration date
08/23/2006
Last updated
06/01/2023
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