| Entity Name: | NAUTILUS HEALTH CARE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2012 (12 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 05 Oct 2012 (12 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023788569 | 2021-09-16 | 2023-06-01 | 5220 BELFORT RD STE 130, JACKSONVILLE, FL, 322566018, US | 11371 CORTEZ BLVD STE 134, BROOKSVILLE, FL, 346135408, US | |||||||||||||||||||
|
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| Phone | +1 904-446-3686 |
| Fax | 9044463032 |
| Phone | +1 352-606-7182 |
| Fax | 3526067482 |
Authorized person
| Name | DENISE TIENCKEN |
| Role | CEO |
| Phone | 9044463519 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Williams Frank | President | 5220 Belfort Road Suite 130, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| Koford Keith | Secretary | 5220 Belfort Road Suite 130, Jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| McDonough John | Treasurer | 5220 Belfort Road Suite 130, Jacksonville, FL, 32256 |
| Name | Role |
|---|---|
| INTEGRATED WOUND SPECIALISTS, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000106181 | HEALOGICS SPECIALTY PHYSICIANS | ACTIVE | 2024-08-30 | 2029-12-31 | No data | 5220 BELFORT RD, STE. 130, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-17 | 5220 Belfort Road Suite 130, Jacksonville, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-17 | 5220 Belfort Road Suite 130, Jacksonville, FL 32256 | No data |
| CONVERSION | 2012-10-05 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P01000068897. CONVERSION NUMBER 700000125827 |
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
