Electronic Renewal Form

Palm Beach County
Ophthalmology Society, Inc.

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Doctor's Listing:

By Name

By Location

Interested in Membership?

2024 Membership Renewal

Members Area
Society Members Only

Florida Society of Ophthalmology (FSO)

Thanks to our Sponsors

2024 Officers:

Deval Joshi, MD
President

Helayna Brown, MD
Vice President

Melissa Iglesias, DO
Treasurer

Staff:
Keith Kuhr
Executive Director

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

2023 Membership Renewal Application

Even if you are mailing in a check this form needs to be completed and
click the submit button .... Thank you!

2024 Membership Renewal Application

First Name: *

Last Name: *

Title: *

2nd Title:

Business Name *

Business Address: *

City: *

State: *

Zip: *

Business Phone #: *

Business Fax #: *

Cell Phone #: *

Business Website Address:

Spouse's Name:

Date of Birth: * / /

E-mail Address: *

American Board of Ophthalmology Certified? *

No
Yes

Date Certified:

Specialize In: *

Include my E-mail Address on the Website? *

Yes
No

Verification Code: Visual Verification Image

Enter Verification Code: *

* Required

By clicking on the submit button you are electronically signing your membership application and that the information provided 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 $160.00 per 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.