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NAUTILUS HEALTH CARE GROUP LLC NPI 1174852560


NPI Information

NPI: 1174852560
Provider Name: NAUTILUS HEALTH CARE GROUP, LLC
Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
5220 BELFORT RD S
STE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (727) 867-5480
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NAUTILUS HEALTH CARE GROUP, LLC is an undersea and hyperbaric medicine preventive medicine in Jacksonville, FL. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. NAUTILUS HEALTH CARE GROUP, LLC NPI is 1174852560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5220 BELFORT RD S
STE 130
JACKSONVILLE, FL
ZIP 32256
Phone: (727) 867-5480
Fax: (888) 507-9833

The provider's authorized official is Paul M. Vazquez .
The authorized official title is President and has the following contact phone number (727) 642-4183.

The enumeration date for this NPI number is 12/14/2009 and was last updated on 7/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyOS5236FLORIDANo
2208800000XUrologyOS5236FLORIDANo
32083P0011XPreventive MedicineUndersea and Hyperbaric MedicineOS5236FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
182952TMEDICARE PINFLORIDA
2D60779MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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