
Get the free First name: MI: Address - Florida Spine Associates
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In addition Florida Spine Associates has my permission to provide medical documentation in order to obtain reimbursement. Ail subsequent visits are to be paid at the time of service. PPO POS and HMO plans that we contract with We will submit your claim to your insurance carrier. Has outside diagnostic testing been performed for this problem Yes 3. Were your symptoms the result of an injury/auto accident If yes please specify x-ray CT MRI EMG or Other 5. If your insurance company utilizes a...
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