Patient Intake Forms
Patient Intake Form
Please fill, sign and print your form prior to arriving to your appointment.
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Services
Pediatric & Adolescent GynecologyLearn MorePediatric & Adolescent Gynecology
Pelvic Organ Prolapse Learn MorePelvic Organ Prolapse
Urinary Incontinence Learn MoreUrinary Incontinence
LOCATION
Medical Arts West Tower
8950 North Kendall Drive, Suite #501
Miami, FL 33176
Phone: (786) 220-2184
Fax: (305) 283-1882
OFFICE HOURS
Monday 8:30 AM - 6:00 PM
Tuesday 8:30 AM - 5:00 PM
Wednesday 8:30 AM - 5:00 PM
Thursday 8:30 AM - 5:00 PM
Friday 8:30 AM - 1:00 PM
Closed Saturday & Sunday
Peter Khamvongsa, FACOG, FACS, IF
8950 North Kendall Drive
Medical Arts West Tower Suite 501
Miami, FL 33176
8950 North Kendall Drive
Medical Arts West Tower Suite 501
Miami, FL 33176