NAUTILUS HEALTH CARE GROUP LLC NPI 1023788569

NPI Information

  • NPI: 1023788569
  • Provider Name: NAUTILUS HEALTH CARE GROUP, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 11371 CORTEZ BLVD STE 134
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 606-7182

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NPI Details

NAUTILUS HEALTH CARE GROUP, LLC is a general practice in Brooksville, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NAUTILUS HEALTH CARE GROUP, LLC NPI is 1023788569. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11371 CORTEZ BLVD STE 134
BROOKSVILLE, FL
ZIP 34613-408
Phone: (352) 606-7182
Fax: (352) 606-7482

The provider's authorized official is Denise Tiencken .
The authorized official title is Ceo and has the following contact phone number (904) 446-3519.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 6/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 3/30/2025

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