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Please complete the form below and a member of our staff will contact you directly to confirm the date, time and location of your appointment. We will do our best to accommodate your request and appreciate your understanding.

Patient Appointment Request Form

    Contact Information

    (954) 602-9723

    12741 MIRAMAR PARKWAY
    SUITE 302
    MIRAMAR, FL 33027
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    1150 N 35th AVE
    SUITE 400
    HOLLYWOOD, FL 33021
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    600 S. PINE ISLAND RD
    SUITE 102
    PLANTATION, FL 33324
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