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Contact Form






First Name (required)

Last Name (required)

Your Email (required)

Your Phone Number (required)

Mobile?
yes

Comments (Preferred Dates, Additional Info)

Working Hours

Mon: 8:00 AM – 5:00 PM
Tue: 8:00 AM – 7:00 PM
Wed: 8:00 AM – 3:00 PM
Thur: 8:00 AM – 5:00 PM
Fri – Sat: By Appointment Only
Sun; Closed;


Address

7797 N. University Drive Suite 201
Tamarac, FL 33321


PHONE NUMBER

During Office Hours
(954) 722-9339 (Phone)
(954) 722-7399 (Fax)


EMERGENCY CONTACT

For Emergencies,
please call 9-1-1

Office Location

Other Info

Patient Forms

In an effort to provide an experience that exceeds your expectations, please click on the forms below and fill out completely. If you are a New Patient, please click the New Patient Information Form, download, print, fill out and bring in to the office.

New Patient FormHIPAA Privacy Form ADA





Dr. Dina Harris-Rodriguez D.M.D, P.A | Copyright 2017. All rights reserved.