STUART
PORT ST. LUCIE
Maps are
not drawn
to scale.
Verizon
Perkins
Medical
Supply
1615 N. W. FEDERAL HIGHWAY • STUART, FL 34994
PHONE 772-878-5858 • FAX 772-692-2480
10377 S. US HIGHWAY 1, SUITE 100 • PORT ST. LUCIE, FL 34952
PHONE 772-337-9191 • FAX 772-337-7772
I hereby authorize Beaches MRI to receive any pertinent medical information.
Signature _______________________________
REV 09/13 POS® Reorder # 0703996