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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.

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Specialty

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Occupation *

Please select all that apply. To select multiple options press and hold the CRTL button while clicking on the options.

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

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