Active NPI
Nautilus Health Care Group, LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Jacksonville, FL
National Provider Identifier
1174852560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- OS5236
- Legal business name
- NAUTILUS HEALTH CARE GROUP, LLC
- Practice address
- 5220 Belfort Rd S
Ste 130
Jacksonville, FL 32256 - Phone
- (727) 867-5480
- Fax
- (888) 507-9833
- NPI assigned
- Dec 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul M. Vazquez, D.O.
- Title
- President
- Phone
- (727) 642-4183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | OS5236 | FL | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | OS5236 | FL | Primary |
| Urology Physician | 208800000X | OS5236 | FL |
Addresses
Primary practice location
5220 Belfort Rd S
Ste 130
Jacksonville, FL 32256
Mailing address
5220 Belfort Rd
Suite 130
Jacksonville, FL 32256
Phone (904) 446-3701
National Provider Directory
National Provider DirectoryLocations
12464 Indian Rocks Rd
Largo, FL 33774
Phone (330) 998-3630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Largo, FL
- NPI 1255391769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375142400000",
"number": "1174852560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD",
"address_2": "SUITE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-446-3701",
"fax_number": "888-507-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 BELFORT RD S",
"address_2": "STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "727-867-5480",
"fax_number": "888-507-9833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUTILUS HEALTH CARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-14",
"last_updated": "2013-07-30",
"status": "A",
"authorized_official_last_name": "VAZQUEZ",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-642-4183",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "OS5236",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "FL",
"license": "OS5236",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "OS5236",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.