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Directory Results for Center for Advanced Gastroenterology 260 Lookout Place, Suite 201 Maitland, FL 32751 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INATION AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION Patient Name: DOB SS# Chart# - - to Center for Advanced Gyn & Urogynecology Shobha Sikka M.D. ...

Center for Advanced Gastroenterology 260 Lookout Place, Suite 201 Maitland, FL 32751 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INATION AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION Patient Name: DOB SS# Chart# - -
Center for Advanced Gastroenterology 740 S.
Center for Advanced Genocide Research)
Center for Advanced Gyn & Urogynecology Shobha Sikka M.D. ...