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General NPI Number Information
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NPI Number | 1962383679
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Entity Type | Organization
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Legal Business Name | AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 733 PALM VIEW DR # E1
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City | NAPLES
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State | FL
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Zip | 34110-1207
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Country | US
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Telephone | 239-734-0810
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Fax | 833-989-2444
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Provider Business Mailing Address
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Address Line | PO BOX 111120 1130 CREEKSIDE PKWY
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City | NAPLES
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State | FL
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Zip | 34108-0119
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Country | US
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Telephone | 239-734-0810
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Fax | 833-989-2444
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | FRED MICHAEL GLOTH III
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Credential |
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Telephone | 239-658-3117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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