Contact Us

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=125 BGCOLOR="#996699" TEXT="#080000" bgproperties="fixed" background="03c467d1erlcll.gif"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>MEDICAL-LEGAL CONSULTING OF CENTRAL FLORIDA</B></FONT><B>     </B><B>|     </B><A HREF="index.htm" TARGET="_top" TITLE="MEDICALLEGAL CONSULTING OF CENTRAL FLORI"><U><B>home</B></U></A></div> <div> <A HREF="id2.htm" TARGET="_top" TITLE="About MLC of CF"><U>About MLC of CF</U></A>   |   <A HREF="id16.htm" TARGET="_top" TITLE="Legal Nurse Consultant FAQs"><U>Legal Nurse Consultant FAQs</U></A>   |   <A HREF="id3.htm" TARGET="_top" TITLE="Professional Services"><U>Professional Services</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="Costs and Money Back Guarantee"><U>Costs and Money Back Guarantee</U></A>   |   <B>Contact Us</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=190 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B><IMG SRC="0489fa70.jpg" border=0 ALIGN="BOTTOM" HSPACE="0" VSPACE="0" width="159" height="167"></B></div> </td> <td valign="top" height=355 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> Contact Us</div> <div> TELEPHONE / FAX  <B>(813) 835-9893</B></div> <bR> <div> E-MAIL   <A HREF="mailto: JLANE007@TAMPABAY.RR.COM" TARGET="_top" TITLE="mailto: JLANE007@TAMPABAY.RR.COM"><U><B>JLANE007@TAMPABAY.RR.COM</B></U></A></div> <bR> <div> or on the web at<B>  </B><A HREF="http://www.nursejan.com" TARGET="_top" TITLE="http://www.nursejan.com"><U><B>www.nursejan.com</B></U></A></div> <bR> <div> Medical Legal Consulting of Central Florida</div> <div> 3603 South Belcher Drive</div> <div> Tampa, FL 33629-8224</div> <bR> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,Fax,MailingList,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="jlane007@tampabay.rr.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <div>  <embed src="HTMLobj-92/BB03.MID" autostart="true" hidden="true">  </div> <bR> </td> </tr></table></body>