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11900 Biscayne Blvd, Suite 806
North Miami, FL 33181
Tel: (305) 830-4115
​Fax: (305) 697-9717
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Patient Appointment Request Form
To request an appointment for your patient, please kindly fill out and send us via text or fax the below Patient Appointment Request Form. Alternatively, your office and/or your patient are welcome to call our office to schedule an appointment as well. We do encourage you to call the office for urgent or emergent appointment requests. We appreciate you entrusting us with the care of your patients.
Call/Text (HIPAA Secure): 305-830-4115
​Fax: 305-697-9717
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