New York: 631-753-3900
Florida: 561-279-1852
Toll free: 800-976-6691

Submit Inquiry-Healthcare Providers

Send a message to Apex by using the Submit Inquiry messaging box below. Remember
to include your name and contact information and the name of your practice/agency.

Region 
Reason for Contact 
Your Name (first and last) 
Your Email Address (your company email if applicable)  
Group Practice or Agency Name  (if applicable) 
Health Care Provider Name (MD, ARNP, PA)  
Health Care Provider NPI  
Apex Account# (if you are unsure, leave blank)  
Business Address (if multiple locations, also include those additional addresses, phone #'s and fax #'s)  
Business Phone#  () -
Business Fax#  () -
All Additional Providers in Practice (Names and NPI's) (if applicable) 
Additional Comments or Questions 
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    *Please note: Login details will not be provided via email to non-corporate email addresses. A temporary password will be faxed to the fax number Apex has listed to your account.