Provider Demographics
NPI:1962383679
Name:AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC
Entity type:Organization
Organization Name:AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GLOTH
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:239-658-3117
Mailing Address - Street 1:PO BOX 111120
Mailing Address - Street 2:1130 CREEKSIDE PKWY
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-0119
Mailing Address - Country:US
Mailing Address - Phone:239-734-0810
Mailing Address - Fax:833-989-2444
Practice Address - Street 1:733 PALM VIEW DR # E1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1207
Practice Address - Country:US
Practice Address - Phone:239-734-0810
Practice Address - Fax:833-989-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty