<physicians advantage>
  • physicians advantage
  • physicians advantage
  • physicians advantage
  • physicians advantage
  • physicians advantage
  • physicians advantage
  • physicians advantage
  • physicians advantage

To join CAPS+ or one of our alternative programs, simply fill in the following fields and enroll securely online. If you would like to speak with a member of our staff to answer any questions or to enroll over the phone please call 1-866-362-3627.

* First Name:
* Last Name:
Degree:
Practice Name:
Medical Associations:
Prefix:
* Street Address:
Suite:
* City:
* State:
* Zip Code :
* Primary Contact Method:
* Primary Phone:
Secondary Phone:
Fax Number:
Office Manager:
* Email:
Fma Member #:
Special Requests:

Choose your payment preference:
Please email me an electronic invoice
to be paid by credit card.

OR

Phone us at:
1-866-362-3627
to pay by credit card.

OR

Send your check to:
Physicians Advantage
One Independent Drive
Suite 3201
Jacksonville, Florida 32202