<p>
	<br />
	<u>Managed Care Organizations, Hospitals and Health Care Agencies</u>:&nbsp; To verify a physician&#39;s Board Certification, please submit a signed request in writing along with a signed release form from the physician (form must be dated no more than one year prior) to the ABPS Executive Offices&nbsp;and the <u>required fee</u> via fax, or mail to the contact below.&nbsp; Request must have name, address and telephone number&nbsp;of requesting entity.</p>
<p>
	ABPS responds to verification requests within 14 days from the receipt of the request. The ABPS attestation fee for all written verification requests received after January 15, 2010 is $50 per individual verification. The fee may be paid by check or credit card (Visa, MasterCard or American Express in U.S. funds). Credit card data must include the name as it appears on card,&nbsp; amount, credit card number and&nbsp;expiration date.<br />
	<br />
	American Board of Physician Specialties<br />
	Attention: Marilyn Whitfield, Certification Coordinator<br />
	5550 West Executive Dr.<br />
	Suite 400<br />
	Tampa, FL 33609<br />
	<br />
	PHONE: 813-433-2277 x 31<br />
	FAX: (813) 830-6599<br />
	<br />
	If you have any questions, or if we may provide further information about ABPS or its affiliated Boards of Certification, please call (813) 433-2277.</p>
