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We offer a number of services, procedures, and products which allow us to treat a broad spectrum of medical conditions and diseases. These services encompass Internal Medicine, Anti-aging Medicine, and Gastroenterology. Regardless of your health concern, we have providers that care about your health and longevity of life.

Concierge Medicine

Concierge medicine is the future of healthcare which allows your physician to have more time to focus on your personalized healthcare. By limiting the number of patients we see, compared to most traditional practices, we can provide more personalized service and focus on your quality of care. Our patients value this partnership and commitment to excellent healthcare, which is on your terms.

Do you ever feel rushed when you go to see the doctor? At our office you will see your doctor whenever you want and stay as long as necessary to feel comfortable with the level of care we provide. Our providers adjust their schedules to meet your needs and allow you 24/7 access to their services.

Our goal is to provide comprehensive and personalized medical care for all our patients. We are able to accomplish this goal by having each of our members pay an annual fee to participate in our practice. Unfortunately this expense is not covered by insurance, but this fee covers a number of regular and preventative services that you would need during the year. Along with these services, this fee provides our patients with the following:


  • Access to our providers 24/7

  • Extended-time for regular and annual visits

  • Office/hospital/home visits

  • Same day appointments

  • In-office testing

  • Online medical records

  • Personalized wellness plan

  • Coordination of health care services

  • Supervision of Hospital Care

Anti-Aging Medicine

Dr. Spano is a Board Certified Anti-Aging Medicine provider, which is a specialty not recognized by the American Board of Medical Specialties. We believe that getting older is inevitable, but aging is optional. We provide a number of services, tests, and treatments which combat the symptoms of aging, fatigue, increased fat, loss of muscle strength and endurance, as well as the illnesses associated with aging. Modern research has shown that we age in part because our hormone levels decline. 

Anti-Aging medicine is the pinnacle of biotechnology joined with advanced clinical preventive medicine. This specialty is founded on the application of advanced scientific and medical technologies for the early detection, prevention, treatment, and reversal of age-related dysfunction, disorders, and diseases. We believe in specific concepts for Anti-Aging Medicine such as:

  • Optimal Anti-Aging Supplementation

  • Natural Hormone Replacement

  • Anti-Aging Specific Exercising

  • Anti-Aging Nutrition

  • Stress Reduction

We promote optimal aging by modifying and

improving these functions through the use of

vitamins, naturopathic remedies, dietary changes,

hormone replacement therapy (HRT) and exercise. 

To get started, a thorough case history, nutritional

and hormonal exam, and lab testing will guide our

providers to form a diagnosis and report. Once

completed we can design a comprehensive

treatment plan that is both safe and effective for

you and your goals.

Integrative Medicine

Integrative Medicine is healing-oriented medicine that takes into account of the patient as a whole (body, mind, and spirit), including all aspects of your lifestyle and community. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative in order to reach your overall health goals.

Principles of Integrative Medicine include:

  • A partnership with the patient and provider in the healing process

  • Investigating various underlying causes for illness and disease

  • Combining traditional and alternative treatment

  • Considering all factors of health and wellness including

       body, mind, spirit and community

  • Critically evaluating outcomes based on modern and alternative research;

       being open to new ideas and methods

  • Using good medicine which is based on good science

  • Using natural and less invasive treatments and procedures whenever possible


Dr. Joseph G. Spano completed his Fellowship at Harvard Medical School and specializes in Gastroenterology. We provide comprehensive consultative and diagnostic services, treatments, and procedures for a broad range of complex digestive health problems. We see adult patients (ages 18 and older) from throughout SW Florida who have common gastrointestinal concerns and screening needs.


We are a referral center for many complex conditions that require the experience, expertise, and resources of an advanced endoscopy group associated with a major medical center.

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