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4308 Alton Road, Suite 750, Miami FL
305.534.8480
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Home
Our Providers
About Dr. Zaiac
Real Patient Reviews
Treatments
Cosmetic Dermatology
Laser Hair Removal
Pixel Perfect Laser
V-Raser for Veins
Dermal Fillers
Botox
Medical Dermatology
Actinic Keratoses
Acne
Allergic Contact Dermatitis
Hair And Scalp
Herpes
Hyperhidrosis
Moles
Psoriasis
Nail Diseases
Pediatric Dermatology
Scabies
Products
Blog
Contact Us
Patient Resources
Request Appointment
Patient Portal
COVID-19 Updates
Schedule an Appointment
Home
Our Providers
About Dr. Zaiac
Real Patient Reviews
Treatments
Cosmetic Dermatology
Laser Hair Removal
Pixel Perfect Laser
V-Raser for Veins
Dermal Fillers
Botox
Medical Dermatology
Actinic Keratoses
Acne
Allergic Contact Dermatitis
Hair And Scalp
Herpes
Hyperhidrosis
Moles
Psoriasis
Nail Diseases
Pediatric Dermatology
Scabies
Products
Blog
Contact Us
Patient Resources
Request Appointment
Patient Portal
COVID-19 Updates
Schedule an Appointment
Request an Appointment
Patient Portal
Patient Resources
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First Name
*
Last Name
*
Email
*
Phone
New Patient?
*
Yes
No
How did you hear about us?
How did you hear about us?
From a Friend
Google Search
Social Media (Facebook, Instagram, etc.)
Newspaper or TV AS
Insurance Directory
Referred by Doctor
Other
Doctor Name
*
What Is Your Insurance?
*
Preferred Contact Method
*
Preferred Contact Method *
Email
Phone
Message
CAPTCHA
* All indicated fields must be completed. Please include non-medical questions and correspondence only.
Phone
This field is for validation purposes and should be left unchanged.
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