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Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Password Requirements

Password must contain at least one uppercase character.
Password must be at least 7 characters in length.
Password must not contain the username.
Password must contain at least one digit.

Provide a password for the new account in both fields.

Password *

Confirm password *

Profile

Location

Street *

Additional

City *

Country *

Postal code *

Phone *

Specialty

To select multiple options press and hold the CTRL button while clicking on the options.

Occupation *

Profession *

Profession and license information provided will be used to report credits to CE Broker. Allopathic physicians with a license number beginning with ME - please select “Medical Doctor”.

Other profession

If you have multiple licenses in Florida, please complete this section and provide other license number information. Applicable credits will be reported to CE Broker.

Specialty Board Baptist Health will report credits through Accreditation Council for Continuing Medical Education. By providing this information I give Baptist Health permission to report credits through Accreditation Council for Continuing Medical Education.		Order
	Board name Board ID	Weight for row 1

Mobile settings

You will receive a message to confirm your mobile information upon login.

Mobile phone number *

Country

Locale settings

Time zone

Select the desired local time and time zone. Dates and times throughout this site will be displayed using this time zone.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question *

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

7 + 1 =

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Password Requirements