Request Appointment

Enter Your Patient Information

* indicates required field

Provider: Ehsan Rafiq, Resident

Provider Location

Clermont

1919 E Hwy 50
Suite 202
Clermont, FL 34711

Lake Mary

4106 W Lake Mary Blvd
Suite 201
Lake Mary, FL 32746

Orlando

1817 N Mills Ave
Orlando, FL 32803

Orlando

2400 N Orange Blossom Trl
Suite 210
Orlando, FL 34744

Oviedo

7432 Red Bug Lake Rd
Oviedo, FL 32765

Winter Garden

15502 Stoneybrook West Pkwy
Suite 112
Winter Garden, FL 34787

First Name

Last Name

Email

Phone

Date of Birth

Street

City

State

Zip/Postal Code

Preferred Contact Method

Phone

Email

Reason for Appointment

Let's Keep In Touch

Yes, I want AdventHealth to send me information about its various services via phone, email or direct mail.

Do more than ever before in one handy download.

View Lab Results
Pay Bills
Message Your Care Team
Schedule Appointments
24/7 Virtual Urgent Care
Access Health Records with MyChart

A Woman Sits on Her Couch and Uses Her Smartphone.