Dr Fred Michael Gloth Iii, MD | |
1441 Heritage Blvd, Immokalee, FL 34142-2260 | |
(239) 658-3117 | |
(239) 658-3074 |
Full Name | Dr Fred Michael Gloth Iii |
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Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1441 Heritage Blvd, Immokalee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881799831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | ME111776 (Florida) | Primary |
Entity Name | Collier Health Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred Michael Gloth Iii, MD 1441 Heritage Blvd, Immokalee, FL 34142-2260 Ph: (239) 658-3117 | Dr Fred Michael Gloth Iii, MD 1441 Heritage Blvd, Immokalee, FL 34142-2260 Ph: (239) 658-3117 |
Jose Roberto Quero, M.D. Geriatric Medicine Medicare: May Accept Medicare Assignments Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3023 Fax: 239-658-3175 | |
Edward L German Iii, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 | |
Dr. Nancy Tejedor-velilla, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 |