Florida Center for Brain and Mind - Evaluation, Rehabilitation, Treatment
 
Appointment Requests:
 
If you are a provider, please fax a prescription order with the patient's demographic information to: (772) 209-6847.
 
If you are a patient, please call us at (772) 600-2668, or (800) 761-0236.  You may also contact us by filling out the form below:

MAKE AN APPOINTMENT TODAY!
FULL NAME
DATE OF BIRTH
ADDRESS
CITY
STATE
ZIPCODE
EMAIL ADDRESS
NAME OF INSURANCE
INSURANCE MEMBER ID
INSURANCE GROUP ID
REASON FOR APPOINTMENT
AVAILABILITY FOR APPOINTMENT