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Medical Staff Office - INITIAL Application Fees

Item #: CC 5980
Provider Name(s) - separated by commas *
Group Name (optional)

Please choose your provider type and quantity

Physicians $450Advanced Practice Providers $450Fully Dependent Staff $300
Physicians $450 / $450.00, Advanced Practice Providers $450 / $450.00, Fully Dependent Staff $300 / $300.00

Initial Medical Staff Application Fee for LRH Medical Staff Membership

For questions, call the Medical Staff Office at 863-284-1919

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