Search icon

NAUTILUS HEALTH CARE GROUP, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: NAUTILUS HEALTH CARE GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2012 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 05 Oct 2012 (13 years ago)
Document Number: L12000127354
FEI/EIN Number 59-3730470
Mail Address: PO Box 551187, Jacksonville, FL, 32255, US
Address: 5220 Belfort Road Suite 130, Jacksonville, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Williams Frank President 5220 Belfort Road Suite 130, Jacksonville, FL, 32256
Koford Keith Secretary 5220 Belfort Road Suite 130, Jacksonville, FL, 32256
- Agent -

Unique Entity ID

CAGE Code:
6MWB6
UEI Expiration Date:
2020-01-28

Business Information

Division Name:
AR SPECIALIST
Division Number:
AR SPECIAL
Activation Date:
2019-01-28
Initial Registration Date:
2012-01-23

Commercial and government entity program

CAGE number:
6MWB6
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-01-29
CAGE Expiration:
2024-01-28

Contact Information

POC:
ALICIA HENDERSON
Corporate URL:
http://www.nautilushealthcaregroup.com

National Provider Identifier

NPI Number:
1023788569
Certification Date:
2023-06-01

Authorized Person:

Name:
DENISE TIENCKEN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
9044463032
Fax:
3526067482

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000106181 HEALOGICS SPECIALTY PHYSICIANS ACTIVE 2024-08-30 2029-12-31 - 5220 BELFORT RD, STE. 130, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-17 5220 Belfort Road Suite 130, Jacksonville, FL 32256 -
CHANGE OF MAILING ADDRESS 2014-03-17 5220 Belfort Road Suite 130, Jacksonville, FL 32256 -
CONVERSION 2012-10-05 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000068897. CONVERSION NUMBER 700000125827

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-01
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-06-24

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State