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Contact Us
Please answer the following questionnaire
1.
Please select one of our offices
[Select an answer]
Miami Dade Headquarter
West Palm Beach Office
2.
Please enter your Email address
3.
Your Cell Phone
4.
What is the Job in which you want to apply for?
Billing Manager
Coordinator
Front Desk
Waiver
5.
How many years or experience do you have in this discipline?
6.
Have you ever worked in our company?
No
Yes
I'm working in this company
7.
Full Name
First
Middle
Last
8.
Date of Birth
9.
Address
Street address
City
State
Zip code
Country
Apt/House/Other
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