Patient Notebook

Inverness Medical Imaging

2105 Hwy 44 West

Address 2

, FL 34453

Phone: (352) 419 - 4818

Fax: (352) 637 - 1034

Make a Payment

Need to make a payment? Please fill out the information below and hit continue.

Error Summary

Please, correctly fill out all required fields.

1. Patient Information

First Name *

M.I.

Last Name *

Patient Account Number

Email Address

2. Payment Amount

Amount

3. Payment Method

Credit/Debit Card

Name on Card *

Card Number *

Expiration Date *

Security Code *

Zip Code *

Cancel

P (352) 419 - 4818

F (352) 637 - 1034

2105 Hwy 44 West Address 2

, FL 34453