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First Name

Dell
Last Name

Test 2
Title

CEO
Practice

10 or less
Address

399 Carolina Ave #250
City

Winter Park
Zip

32789
Office Phone

4072647258
Cell Phone

4072647258
Medical Specialty

Allergy
Number of Physicians

20
Number of Properties

1
Real Estate Portfolio Size

Less than $10MM
Hospital JV?

No
The benefit(s) I am most interested in realizing from CPOMP is(are):

Attendance at the CPOMP annual conference, The ability to network with other physicians or executives as a resource
My greatest area(s) if interest include:

Real estate portfolio growth strategies (M&A / new projects)
How many partners are in the practice?

2
Of those practice partners, how many have ownership interest in at least one of the real estate properties that the practice occupies?

1-25
Our real estate portfolio includes:

MOBs
The estimated total Fair Market Value of the real estate is $______

2,000,000
Have you been involved in any sale-leasebacks of your real estate?

No
Do you anticipate growing your real estate portfolio in the next three years?

Yes
If qualified, are you interested in attending the CPOMP Annual Meeting?

Yes
How did you hear about CPOMP?

Email