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Membership

 

Membership Benefits

Eligibility for Membership in FSN

Membership Application

Membership Benefits

Your membership will entitle you to receive

  • FSN Bulletin (newsletter)
  • Periodic updates on state and national issues
  • Opportunity to have your views and concerns communicated to Florida   Medicare Part B officials
  • Free registration for the FSN's Annual meeting for you and your office manager
  • FSN's Directory of Florida nephrologists (Directory now being updated -- please send in any address or contact number changes )

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Eligibility for Membership in FSN

Physicians engaged in the treatment of patients with renal disease or in research activities involving renal disease may apply for membership. Become a part of FSN. It's the renal physician's state representative and professional resource. It's working to serve you.

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Membership Application

To join Florida Society of Nephrology, just fill out this membership application and submit it to the Florida Society of Nephrology. An invoice for $150 membership fee will be mailed to you and is due upon receipt. Membership year runs from January 1 to December 31.  Please provide the following information:

Click Here to Download A Printable Version of The Application

Name:
Group Name:
Street Address:
Address (cont.):
City:
County:    State:
Zip/Postal Code:
Work Phone:
Fax:
E-mail:
 My office
manager's name:
Internal Medicine
Are You Board Certified? Are You Board Eligible?
Nephrology
Are You Board Certified? Are You Board Eligible?
Nephrology Pediatrics
Are You Board Certified? Are You Board Eligible?

Do you know if your associates are currently a member 
of FSN?
       Yes   No   Not Sure   Don't Know

How many associates do you work with?

Please list your physician associates:
Associate:  E-mail:
Associate:  E-mail:
Associate:  E-mail:
Associate:  E-mail:

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Florida Society of Nephrology
218 E. Bearss Avenue #410
Tampa, FL 33613
Phone: 813-909-0450     Fax: 813-949-8994

Email: fsn@cobbemanagement.com

 

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