Request Information or Appointment - Required * First Name* Last Name* Email* Cellular Number* Additional Phone Number* Street Address Street Address 2 City  State/Province Postal Code I am: A new patient An existing patient An international patient Insurance Information: (type self pay if you are paying) Choose a location: Aventura Office Biscayne Office Miami Hialeah Office Jackson North Office Miami Pembroke North Office Pembroke South Office Choose a doctor: Dr. Kevin Coy Dr. Ali Bazzi Dr. Susan Bratschi Dr. Anique Bryan Dr. Joseph Cerami Dr. Katherine Chung- Bridges Dr. Gilbert Concepcion Dr. Luis Correa Dr. Richard Elias Dr. Handre Hurwit Dr. Abdul-Rahman Jaraki Dr. Michelle Lister Dr. James Margolis Dr. Luis Rechani Dr. Melvin Ross Dr. Giancarlo Speziani Dr. Assaf Tzur Desired date/time: Name of referring physician: (type self referral if no referring physician) Comments**: Help us reduce spam by taking this simple test. Choose the character below that matches the letter Y:

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