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Zola Almeida M.D. P.A. 4855 W Hillsboro Blvd., Suite B13 Coconut Creek, Fl. 33073 9544209182 Fax 9544209184AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION PATIENT INFORMATION: Patient Name:Address:City,
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Zoyla Almeida MD PA is a medical practice led by Dr. Zoyla Almeida.
Dr. Zoyla Almeida or the designated representative of Zoyla Almeida MD PA is required to file.
Zoyla Almeida MD PA must be filled out accurately and completely according to the guidelines provided by the relevant authority.
The purpose of Zoyla Almeida MD PA is to report important information about the medical practice and its operations.
Information such as financial data, patient statistics, and compliance measures must be reported on Zoyla Almeida MD PA.
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