Refer a Patient
This form is for healthcare professionals referring a patient to our practice. If you are a patient, please use our appointment request form instead.
Looking for Dr. Muftah's office? You're in the right place.
Suncoast Digestive & Liver Center is the new name for the practice previously known locally as the office of Azzam Muftah, MD. Our phone number and address remain the same, and existing referral pathways are still applicable — you can continue referring patients here.
Referral Information
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📍
15205 Cortez Blvd
Brooksville, FL 34613 - 📞 Office: (352) 597-7744
- 📸 Referral Fax: (352) 597-7797
- 📄 Referral Form: Complete the form below
Please include relevant office notes, recent labs/imaging, insurance information, and the reason for referral when available.
Submit a Referral
Submissions are securely processed through our HIPAA-compliant intake form. Our team will contact the patient directly to schedule.