Medical Card
All fields are required
Type of Visit
Medical Card
Medical Card (Veteran)
Follow Up
Reason for Visit
e.g. Back pain
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
[email protected]
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Office
Medical Card
Follow Up
Office Address:
7455 Collins Ave Suite 203 Miami Beach FL 33141
7455 Collins Ave Suite 203 Miami Beach FL 33141
New and Existing patients can make appointments online.
Office Phone:
(305) 928-2273
Available Times
Previous Week
Next Week
Visit Length:
30 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment