Palm Beach County
  Ophthalmology Society, Inc.
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Doctor's Listing:

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By Location
 
Florida Society of Ophthalmology (FSO)
 
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Interested in Membership
 
Members Area
Society Members Only

2010 Officers:

 Adrian Lavina, MD
   President
 Ernesto Segal, MD
   Vice President
  Kevin Kelly, MD
   Treasurer

Staff:
Keith Kuhr
  Executive Director
Debra Lambert
  Executive Secretary

Membership Dues can be paid Online with a Credit Card!!


 

2010 Membership Renewal Form & Payment

 


  If Your information has not changed from last year then just complete the 4 items
 marked
in red & with an "*"   If any information has changed, please complete the
 fields that need to be corrected.
 
  You can Review your current information we have on file in the "Doctor's Listing" section
  of the website.
  

 
Even if you are mailing in a check this form needs to be completed....Thank you!

       2010 Membership Renewal

Date: 


*
Name:                 ,     

*Name of Practice:               

   If Your information has not changed, just complete the items in red & marked with an "*"
   If any information has changed, complete the fields that need to be changed.
   You can Review your current information we have on file in the "Doctor's Listing" section of the website.

Business Address (Street):

City:     State:  FL    Zip:

Business Phone #:           

Business FAX #:  
 
Home Phone  #:  

Spouse’s Name:

Your Date of Birth: 

*E-mail Address:                   -(Used for ALL society
                                                                                                                                       correspondence.)
Your Website Address:

American Board of Ophthalmology Certified?
     YES  NO;   Date Certified: / Year:

Specialize in:

 

As a member you have a professional business listing on the society web site.
Would you like your email address listed on the Palm Beach County Ophthalmology Society, Inc. Website:
   
  
*Include my E-mail Address on the website?:  Yes  No
 

 Click Submit to Process application and to Continue to Payment screen.

                                     

By clicking on the submit button you are electronically signing your membership application and that it is true and correct.  You also agree to allow the above information to be used by the Palm Beach Ophthalmology Society, Inc. as needed for membership purposes.  Note: We do not share any information with any outside sources or other members.  Membership is for a calendar year and dues are $130.00 for 2010 year.

 

  2008 Ophthalmologist of the Year was awarded to
Dr. Alan Aker, MD.
 

  2007 Ophthalmologist of the Year was awarded to
Dr. Louis Feldgoise, MD.
 

  2004 Ophthalmologist of the Year was awarded to
Dr. Emanuel Newmark, MD.
 

2003 Ophthalmologist of the Year was awarded to
Dr. Michael Levine, MD.

2002 Ophthalmologist of the Year  was awarded to
Dr. David Cano, MD.

  2001 Ophthalmologist of the Year was Awarded to
Dr. Mark Michels, MD.
 

Palm Beach County Ophthalmology Society First Ever Honorary Membership Awarded to Dr. Charles D. Kelman.  Click on name to read the article.