Registration

Doctor Registration

Complete the form below and submit payment to confirm your attendance to Miami Nice 2025.

Remember you can choose Saturday, Sunday or both dates this year.

Payments through PayPal will say Donation to MDOPA.

First Name:

Middle Name:

Last Name:

Email: *

Phone Number: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *

FL License Number (If Applicable):

OE Tracker: *

My Special Meal Requirements are: *

Please select the option that best applies: *

Saturday REG MDOPA/BCOA - $300

Saturday REG AOA - $400

Saturday REG Non-Member - $450

Sunday REG MDOPA/BCOA - $350

Sunday REG AOA - $450

Sunday REG Non-Member - $500

Sat+Sun REG MDOPA/BCOA - $500

Sat+Sun REG AOA - $650

Sat+Sun REG Non-Member - $800

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