","fileUploadOldCodeFileUploadInProgress":"File Upload in Progress. Call: (920) 746-4434. Miami, FL 33146. New Patient; Patient Portal ; New Patient. League City, TX 77573. Our team of board-certified professionals specialize in the diagnosis and treatment of all types of skin condition. All chapters contain original information making this book an invaluable reference for all who deal with the management of severe and chronic pain - including neurosurgeons and neurosurgical trainees, pain specialists and practitioners, ... Scroll down to select your smoking status. 6424 N US Hwy 41. Verify the name, address and phone number of the pharmacy. We always look to maintain skin well … .nf-field-element > div { Our practice focuses on detection of skin cancers using state-of-the-art dermoscopy and confocal microscopy. The book is well illustrated, up to date and authoritative. background-color: rgba(255,255,255,0); border-radius: 5px; float: right; padding-left: 30px; padding-right: 30px; } Everyone I have dealt with there has been very courteous and professional. Book Appointment Online New Patient Registration Forms: We understand that our patient's time is valuable. ","siteLocale":"en_US","dateFormat":"m\/d\/Y","startOfWeek":"1","of":"of","previousMonth":"Previous Month","nextMonth":"Next Month","months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"weekdaysMin":["Su","Mo","Tu","We","Th","Fr","Sa"],"currency_symbol":"","beforeForm":"","beforeFields":"","afterFields":"","afterForm":""};form.fields=[{"objectType":"Field","objectDomain":"fields","editActive":false,"order":1,"idAttribute":"id","label":"First Name","type":"firstname","key":"firstname_1523908368154","label_pos":"hidden","required":1,"default":"","placeholder":"First Name","container_class":"one-half first","element_class":"","admin_label":"","help_text":"","custom_name_attribute":"fname","field_label":"First Name","field_key":"firstname_1523908368154","personally_identifiable":1,"wrap_styles_show_advanced_css":0,"label_styles_show_advanced_css":0,"element_styles_show_advanced_css":0,"cellcid":"c3485","value":"","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","drawerDisabled":false,"id":5,"beforeField":"","afterField":"","parentType":"firstname","element_templates":["firstname","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":2,"idAttribute":"id","label":"Last Name","type":"lastname","key":"lastname_1523908369534","label_pos":"hidden","required":1,"default":"","placeholder":"Last Name","container_class":"one-half second","element_class":"","admin_label":"","help_text":"","custom_name_attribute":"lname","drawerDisabled":false,"field_label":"Last Name","field_key":"lastname_1523908369534","personally_identifiable":1,"wrap_styles_show_advanced_css":0,"label_styles_show_advanced_css":0,"element_styles_show_advanced_css":0,"cellcid":"c3488","value":"","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","id":6,"beforeField":"","afterField":"","parentType":"lastname","element_templates":["lastname","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":3,"idAttribute":"id","label":"Phone","type":"phone","key":"phone_1523908588264","label_pos":"hidden","required":1,"default":"","placeholder":"Phone","container_class":"","element_class":"","input_limit":"","input_limit_type":"characters","input_limit_msg":"Character(s) left","manual_key":"","admin_label":"","help_text":"","mask":"","custom_mask":"","custom_name_attribute":"phone","field_label":"Phone","field_key":"phone_1523908588264","personally_identifiable":1,"wrap_styles_show_advanced_css":0,"label_styles_show_advanced_css":0,"element_styles_show_advanced_css":0,"cellcid":"c3491","value":"","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","drawerDisabled":false,"id":8,"beforeField":"","afterField":"","parentType":"textbox","element_templates":["tel","textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":4,"idAttribute":"id","label":"Email","type":"email","key":"email_1523908522614","label_pos":"hidden","required":1,"default":"","placeholder":"Email","container_class":"","element_class":"","admin_label":"","help_text":"","custom_name_attribute":"email","field_label":"Email","field_key":"email_1523908522614","personally_identifiable":1,"wrap_styles_show_advanced_css":0,"label_styles_show_advanced_css":0,"element_styles_show_advanced_css":0,"cellcid":"c3493","value":"","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","drawerDisabled":false,"id":7,"beforeField":"","afterField":"","parentType":"email","element_templates":["email","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":5,"idAttribute":"id","type":"listselect","label":"Are you a first-time client","key":"are_you_a_first-time_client_1613629153918","label_pos":"hidden","required":1,"options":[{"errors":[],"max_options":0,"order":0,"new":false,"options":[],"label":"Are you a first-time client","value":"","calc":"","selected":1,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"label":"Yes","value":"choice1","calc":"","selected":0,"order":1,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"label":"No","value":"choice2","calc":"","selected":0,"order":2,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true}],"container_class":"","element_class":"","admin_label":"","help_text":"","drawerDisabled":false,"field_label":"Enquiry Type","field_key":"enquiry_type_1523908495090","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","label_styles_show_advanced_css":0,"element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","element_styles_show_advanced_css":1,"cellcid":"c3496","desc_text":"","element_styles_advanced":"border-radius: 3px;","id":15,"beforeField":"","afterField":"","value":"","parentType":"list","element_templates":["listselect","input"],"old_classname":"list-select","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":6,"idAttribute":"id","type":"listselect","label":"Location","key":"location_1613629035099","label_pos":"hidden","required":1,"options":[{"errors":[],"max_options":0,"order":0,"new":false,"options":[],"label":"Location","value":"","calc":"","selected":1,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"label":"Port Richey","value":"port-richey","calc":"","selected":0,"order":1,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"label":"Largo","value":"largo","calc":"","selected":0,"order":2,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"label":"St. Pete","value":"st-pete","calc":"","selected":0,"order":3,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}},"manual_value":true},{"errors":[],"max_options":0,"order":4,"new":false,"options":[],"label":"Tampa","value":"tampa","calc":"","selected":0,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}}},{"errors":[],"max_options":0,"order":5,"new":false,"options":[],"label":"Spring Hill","value":"spring-hill","calc":"","selected":0,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}}},{"errors":[],"max_options":0,"order":6,"new":false,"options":[],"label":"Palm Harbor","value":"palm-harbor","calc":"","selected":0,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}}},{"errors":[],"max_options":0,"order":7,"new":false,"options":[],"label":"Homosassa","value":"homosassa","calc":"","selected":0,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}}},{"errors":[],"max_options":0,"order":8,"new":false,"options":[],"label":"Downtown St. Pete","value":"downtown-st-pete","calc":"","selected":0,"settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New<\/a> <\/i> Import<\/a>","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"<\/span>","default":0}}}}],"container_class":"","element_class":"","admin_label":"","help_text":"","drawerDisabled":false,"field_label":"Enquiry Type","field_key":"enquiry_type_1523908495090","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","label_styles_show_advanced_css":0,"element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","element_styles_show_advanced_css":1,"cellcid":"c3498","element_styles_advanced":"border-radius: 3px;","desc_text":"

<\/p>","id":10,"beforeField":"","afterField":"","value":"","parentType":"list","element_templates":["listselect","input"],"old_classname":"list-select","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":7,"idAttribute":"id","label":"Hidden","type":"hidden","key":"hidden_1613629320540","default":"","admin_label":"","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","label_styles_show_advanced_css":0,"element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","element_styles_show_advanced_css":0,"cellcid":"c3501","drawerDisabled":false,"id":16,"beforeField":"","afterField":"","value":"","label_pos":"hidden","parentType":"hidden","element_templates":["hidden","input"],"old_classname":"","wrap_template":"wrap-no-label"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":8,"idAttribute":"id","label":"Message","type":"textarea","key":"message_1613629021174","label_pos":"hidden","required":1,"default":"","placeholder":"Message","container_class":"","element_class":"","input_limit":"","input_limit_type":"characters","input_limit_msg":"Character(s) left","manual_key":"","admin_label":"","help_text":"","textarea_rte":"","disable_rte_mobile":"","textarea_media":"","field_label":"Details","field_key":"details_1523908537286","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","wrap_styles_show_advanced_css":0,"label_styles_border":"","label_styles_width":"","label_styles_font-size":"","label_styles_margin":"","label_styles_padding":"","label_styles_float":"","label_styles_show_advanced_css":0,"element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","element_styles_show_advanced_css":0,"cellcid":"c3504","value":"","drawerDisabled":false,"id":11,"beforeField":"","afterField":"","parentType":"textarea","element_templates":["textarea","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":9,"idAttribute":"id","type":"submit","label":"Submit","processing_label":"Processing","container_class":"","element_class":"","key":"submit_1523908548082","field_label":"Submit","field_key":"submit_1523908548082","wrap_styles_show_advanced_css":0,"element_styles_show_advanced_css":0,"submit_element_hover_styles_show_advanced_css":0,"cellcid":"c3507","wrap_styles_border":"","wrap_styles_width":"","wrap_styles_margin":"","wrap_styles_padding":"","wrap_styles_float":"","element_styles_border":"","element_styles_width":"","element_styles_font-size":"","element_styles_margin":"","element_styles_padding":"","element_styles_float":"","submit_element_hover_styles_border":"","submit_element_hover_styles_width":"","submit_element_hover_styles_font-size":"","submit_element_hover_styles_margin":"","submit_element_hover_styles_padding":"","submit_element_hover_styles_float":"","drawerDisabled":false,"id":14,"beforeField":"","afterField":"","value":"","label_pos":"hidden","parentType":"textbox","element_templates":["submit","button","input"],"old_classname":"","wrap_template":"wrap-no-label"}];nfForms.push(form);