1962383679 NPI number — AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC

Table of content: MR. CHRISTIAN TSAKANIKAS ATC (NPI 1386379261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962383679 NPI number — AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962383679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 111120
Provider Second Line Business Mailing Address:
1130 CREEKSIDE PKWY
Provider Business Mailing Address City Name:
NAPLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34108-0119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-734-0810
Provider Business Mailing Address Fax Number:
833-989-2444

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
733 PALM VIEW DR # E1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34110-1207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-734-0810
Provider Business Practice Location Address Fax Number:
833-989-2444
Provider Enumeration Date:
09/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
GLOTH
Authorized Official First Name:
FRED
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
239-658-3117

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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