Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Temporary Certificate for Practice in Areas of Critical Need (Rear Admiral Leroy Collins Jr.).
Applying for a New License – Rear Admiral Leroy Collins Jr.
Requirements
Applicants for a temporary license in an Area of Critical Need must meet the following:
- Be licensed to practice in any jurisdiction in the United States and whose license is currently valid
And
- Only practice in certain designated, approved facilities located in communities of Florida where there is a critical need for physicians. Pursuant to s. 458.315, Florida Statutes, the State Surgeon General determined the areas of critical need within the State of Florida are primary care and mental health Health Professional Shortage Areas (HPSA), designated by the United States Department of Health and Human Services, Health Resources and Services Administration (HRSA), as displayed at: https://data.hrsa.gov/tools/shortage-area/by-address; Volunteer Health Care Provider Program participants; free clinics; and any location that was in a designated HPSA at the time the Temporary Certificate was issued or renewed, whichever was later, but was withdrawn by HRSA as published in the Federal Register during the term of the Temporary Certificate, shall be considered as practicing in an area of critical need until the next Temporary Certificate renewal.In addition, the following institutions which have been operating as an approved institution in a designated area of critical need but which are not located in a Health Professional Shortage Area (HPSA) as designated by the United States Department of Health and Human Services, shall continue to be designated and approved as an area of critical need for so long as the facility continues to provide health care to meet the needs of the underserved population in its area, or until further Order by the State Surgeon General:
- Crossroads
444 Valparaiso Parkway, Building C
Valparaiso, Florida 32580 - Med Express Urgent Care
13856 North Dale Mabry
Tampa, Florida 33618 - Interamerican Medical Center Group
15529 Bull Run Road, Miami Lakes
Florida 33014 - State Surgeon General Determination of Areas of Critical Need Order
Effective July 1, 2012, section 456.0635, Florida Statutes, provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
- For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
- Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
- Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
- Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Applicants who answer “Yes” to any of the Health History questions on the application are required to submit the following documentation to the board office:
Self-Explanation – Applicants must submit a letter in your own words explaining the medical condition(s) or occurrence(s). Include a description of all treatments and diagnoses you have received for any condition(s)/impairment(s) you are/have been treated for. Include all medications prescribed and all physicians/counselors that have provided treatment.
Physician(s) Letter – Applicants must submit a statement from your treating physician(s)/counselor(s) for each condition you are/were being treated for and whether or not you are currently able to safely practice Medicine. The physician’s statement should include all DSM IIIR/ DSM IV, Axis I, II, and III diagnoses.
Applicants who have ever been denied licensure, had disciplinary action taken against their license, or have action pending against their license to practice any health care related profession by a licensing authority are required to submit the following documentation to the board:
Self-Explanation – Applicants who have listed disciplinary action on the application must submit a letter in your own words describing the circumstances of the action.
Agency Records – All relevant documentation regarding the action should be sent to the board office by the licensing agency. If the records are not available, you must have a letter on agency letterhead sent from the licensing agency attesting to their unavailability.
Any applicant who has ever been found guilty of or pled guilty or no contest/nolo contendere to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.
The Board of Medicine has created guidelines for specific offenses to be cleared in the board office; however, staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Medicine for review. Evidence of rehabilitation is important to the board members when making licensure decisions.
Applicants with prior criminal convictions are required to submit the following documentation to the board:
Self-Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.
Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
- For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
- Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
- Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
- Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Effective January 1, 2013, applicants for initial licensure must use a LiveScan service provider to submit a set of fingerprints to the Florida Department of Law Enforcement (FDLE) for the purpose of conducting a search for any Florida and national criminal history records that may pertain to applicant. The results of the search will be returned to the Care Provider Background Screening Clearinghouse and made available to the Department for consideration during the licensure process. The fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant.
It is important to use the correct Originating Agency Identification (ORI) when submitting fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the service provider, the board office will not receive your fingerprint results, so it is extremely important to use the correct ORI when having your fingerprints scanned.
Applicants can use any FDLE approved LiveScan service provider to submit their fingerprints. The applicant is fully responsible for selecting the service provider and ensuring the results are reported to the Department. If you are applying for initial licensure after December 15, 2012, You must print this form and take it with you to a Livescan service provider. For more information, FAQs, and a list of all approved Livescan service providers please visit the Department’s website at: https://www.flhealthsource.gov/background-screening and click on the Livescan Service Providers tab.
The Florida Board of Medicine general statutes require that you must have a valid Florida medical license to practice medicine in Florida.
If you have been named in any malpractice suits, or have answered “yes” to any of the questions in the application, anticipate the possibility that additional information be requested.
You can check the status of the application by clicking the “Check Status” link. Once you have submitted your application, it will take up to 10 business days before the information on your status is up to date. You will need to know your File ID number and your date of birth to access the information. Your File ID number will be given to you once you start the application.
We recommend that you do not make any commitments based upon expectation of licensure until you are actually licensed. Some applicants suffer significant costs by signing mortgages and committing to a start date prematurely.
Read instructions before and while you complete the application. Failure to do so may result in delays in processing your application.
One application is not accelerated at the expense of another, particularly if there is a premature commitment to start practicing medicine. All applicants are handled equally and fairly. The application process may take between two to six months to complete depending on your credentials. You will not be able to start work until you have been granted a full medical license.
Applicants can help expedite the application process by including all relevant materials with their application packets (medical school diploma, residency certificates, etc). We will mail you a deficiency letter approximately 30 days after receiving your application. Please refrain from contacting our office until after you have received your initial deficiency letter. E-mail contact is more efficient. Time spent on the telephone impacts time available for staff to process applications.
Please direct questions or comments to info@flboardofmedicine.gov.
We process applications, mail, e-mails, and telephone calls in date order.
Licenses will not be issued without the background check results and will be issued in date order.
When issuing licenses, we have a strict policy of fairness. One application will not be accelerated at the expense of another. All applications will be handled equally and fairly. Also, the less time reviewers spend responding to duplicate e-mails and telephone calls, the faster applications can be reviewed.The standard procedures for the reviewers are:
Return phone calls within 24 hours.
Check mail within one week from receipt date.
Respond to e-mails within one week.
It could take up to 10 business days to issue your license after completion of your application. It will take approximately 7 business days to receive your license in the mail after issuance. To view your license before receiving the actual license in the mail, click LOOKUP. Your license number will appear on the web site 24 to 48 hours after it is issued.
Federal Credentials Verification Services (FCVS) will primary source verify and provide a copy of the medical school transcript(s), medical school diploma, medical school verification, name change document(s), national examination score report, ECFMG certificate, and ECFMG verification. For more information about FCVS, visit their web-site at www.portal.fsmb.org/MyFsmb/.
Note: If you have not completed the FCVS certification process prior to applying for license in Florida it could take longer to receive your Florida license.
The State of Florida operates under Chapter 286, Florida Statutes, commonly referred to as the “Sunshine Law.” This law requires that board meetings are public. All information that you provide to the Department is public record and shall be open to public inspection as required by 119.07 F. S., except financial information, examination records, and patient records.
Personal Appearances before the Credentials Committee or the Board of Medicine may be required for a variety of reasons: e.g., malpractice, medical education, postgraduate training, disciplinary actions, etc. If an appearance is required, we will notify you by mail including the date, time, location, and reason(s) for the appearance. The Credentials Committee meets in conjunction with the full Board of Medicine meetings. In order for the Committee members to review all the information that is provided for this committee, other committee meetings at the same time, and for the full board meeting, a deadline for applications must be established and respected. The cut off for a complete application to be considered is six (6) weeks prior to the committee meeting. All Board and Committee meetings dates, click Meetings
Any document submitted in a language other than English must be accompanied by a literal translation. Acceptable translators are: An employee of a professional translating company, a member of a professional translation company, a member of the American Translators Association, a faculty member of the modern languages or linguistics department of a United States college or university. Translations must be prepared on letterhead paper or bear the translator’s certification seal. All information appearing on the original document must also appear on the translation each time it appears on the original document. This includes pre-printed information.
For example, the letterhead of the university, titles, etc.
All stamps and seals must be translated if legible. If not legible, state that it is not legible and cannot be translated.
All signatures and photos must be identified.
All numbers must be translated unless they appear as follows: 1 2 3 4 5 6 7 8 9 0. If they do not appear on the document as they do above, they must be accurately transcribed.
Any other information on the document must be translated.
Note: Translations prepared in international countries often have certifications on the translation. If a certification is in a language other than English, it must also be translated. Omissions or errors will cause a delay in the application process.
Process
Section 456.013(1)(a), Florida Statutes, provides that a licensure application and application fee are valid for one year. Application fees are non-refundable.
To practice medicine in the state of Florida, you must have a valid Florida medical license. The licensing process involves the collection of credentials from the applicant and from other sources. Once all materials are submitted, an application specialist will review them; however, it may be necessary for the application specialist to request additional information. Our goal is to review materials as quickly as possible, but we must be thorough.
You can help expedite the application process by including all relevant materials with your application packets (medical school transcripts, residency certificates, etc). We will mail you a deficiency letter approximately 30 days after receiving your application, so please refrain from contacting our office until after you have received your initial deficiency letter. Time spent on the telephone impacts time available for staff to process applications.
Please email questions or comments to our office at info@flboardofmedicine.gov.
We process applications, mail, e-mails, and telephone calls in date order.
Submit your application, supporting documentation, and applicable fee payment, to the following address:
Department of Health/ HMQAM
P.O. Box 6330
Tallahassee, Florida 32314-6330
Receiving your application and logging in your check usually takes about 5 business days. Once the application is logged in, it is then forwarded to the board office. NOTE: The reason you must use the above address is because of the fees you must enclose.
Mail additional documentation or anything without a fee to the following address:
Department of Health
Medical Quality Assurance/Board of Medicine
HMQAM
4052 Bald Cypress Way, BIN #CO3
Tallahassee, Florida 32399-3253
All documents must have your name as listed on your application to ensure materials reach your application in a timely manner.
Again, we recommend that you do not make any commitments based upon expectation of licensure until you are actually licensed. Some applicants suffer significant costs by signing mortgages and committing to a start date prematurely. One application is not accelerated at the expense of another, particularly if there is a premature commitment to start practicing medicine. All applicants are handled equally and fairly.
The State of Florida operates under Chapter 286, Florida Statutes, commonly referred to as the “Sunshine Law.” This law requires that board meetings are public. All information that you provide to the Department is public record and shall be open to public inspection as required by 119.07 F. S., except financial information, examination records, and patient records.
Fees
Compensated Non-Compensated
Application fee:
$300.00 (non-refundable) Exempt
Initial license fee:
$355.00 Exempt
NICA fee:
$250.00 or $5,000.00 (please read information at www.nica.com)
Dispensing Practitioner fee:
$100.00 (optional, this fee is for selling pharmaceuticals in your office)
Make certified checks or money orders payable to: “Department of Health” (DOH); or pay by credit card when applying online.
Statutes and Rules
Click on Chapter or Section Number to View
Florida Statutes
456.013 Department; general licensing provisions
458.315 Temporary Certificate for practice in area of critical need
458.331 Grounds for disciplinary action
456.035 Address of record
456.039 Designated health care professionals; information requirement for licensure
456.048 Financial responsibility requirements for certain health care practitioners
456.0635 Medicaid fraud; disqualification for license, certification, or registration
458.320 Financial responsibility
Florida Administrative Code
64B8-1.007 List of approved Forms
64B8-2.001 Definitions
64B8-3.002 Applications, Certification, Registration, and Licensure Fees
64B8-4 Licensure
64B8-5.001 Examinations
64B-2.001 Practitioner Profile
64B8-12.001 Financial Responsibility applicability
64B8-12.005 Financial Responsibility procedures
64B8-12.007 Financial Responsibility exemptions for persons not practicing in Florida; Change of status
Before practicing medicine in Florida, read Chapter 456, 458, and 766.301-.316 Florida Statutes (F. S.), and Rule Chapter 64B8, Florida Administrative Code (F.A.C). You must know and comply with the laws and rules as they pertain to your professional practice. Laws and rules are subject to change at any time. For updated information refer to the following web-sites www.leg.state.fl.us (Florida Statutes) and www.flrules.org (Florida Administrative Code).
Applying for a New Physician Assistants Temporary License
Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Temporary Certificate for Physician Assistants to Practice in an Area of Critical Need.
Requirements
General Licensure Requirements
Requirements for a physician assistant to practice in an approved area of critical need include the following:
- Complete and submit an application for licensure.
- Complete a background screening with an approved Livescan provider. Visit flhealthsource.gov/background-screening for additional information.
- Hold a current and valid license to practice as a physician assistant in any jurisdiction of the United States.
- Must practice medicine only in approved areas of critical need. Review section 458.315, Florida Statutes, for additional information.
- Must demonstrate the active licensed practice of medicine as a physician assistant during the three-year period immediately preceding the application for licensure.
If a “Yes” response was provided to any of the health history questions on your application for licensure, provide the following documents:
A letter from a Licensed Health Care Practitioner, who is qualified by skill and training to address the condition identified, which explains the impact the condition may have on the ability to practice the profession with reasonable skill and safety. The letter must specify that the applicant is safe to practice the profession without restrictions or specifically indicate the restrictions that are necessary. Documentation provided must be dated within one year of the application date.
A written self-explanation, identifying the medical condition(s) or occurrence(s); and current status.
If you have ever been denied a license, had disciplinary action taken against a license, or have had other action taken against you by a licensing agency, you will need to submit the following for each denial and action:
- Written self-explanation describing in detail the circumstances surrounding the circumstances of the action.
- Agency records of that action, including all administrative complaints and final orders.
If you are currently under investigation or prosecution in any jurisdiction for an act that would constitute a violation under section 456.072, Florida Statutes or section 458.331, Florida Statutes, please submit the following:
- Written self-explanation describing in detail the circumstances surrounding the investigation or prosecution.
- A letter from the state board/entity explaining the results of the investigation or prosecution.
Failure to disclose disciplinary history on your application may result in the denial of your application for licensure.
All actions are reviewed by the Chair of the Council on Physician Assistants to determine whether a personal appearance is required at a council meeting. If you are required to appear, you will be notified in writing by Board staff within 30 days of the scheduled meeting.
If you have ever been found guilty of or had adjudication withheld for, or pled guilty or nolo contendere (no contest) to a crime in any jurisdiction other than a minor traffic offense, submit the following for each conviction:
- Written self-explanation describing in detail the circumstances surrounding the arrest and conviction.
- Arrest records from the arresting jurisdiction.
- Final disposition of the case.
- Documents showing completion of sentence (probation, parole, sanctions, fines, etc.).
If arrest, disposition, or completion of sentencing records are unavailable, the clerk of courts or other agency responsible for those records may submit documentation attesting to the unavailability of those records.
Failure to disclose criminal history on your application that impacts the practice of medicine or your ability to practice medicine with reasonable skill and safety may result in the denial of your application for licensure.
Some criminal history may require a review by the Chair of the Council on Physician Assistants to determine whether a personal appearance is required at a council meeting. If you are required to appear, you will be notified in writing by Board staff within 30 days of the scheduled meeting.
Important Notice: Applicants for licensure, certification, or registration and candidates for examination may be excluded from licensure, certification, or registration if their felony convictions fall into certain timeframes as established in section 456.0635(2), Florida Statutes.
If a “Yes” response was provided to any of the criminal and Medicaid/Medicare fraud questions on your application for licensure, provide the following documents:
- Written self-explanation for each question including the county and state of each termination or conviction, date of each termination or conviction, and copies of supporting documentation.
- Supporting documentation including court dispositions or agency orders where applicable.
Effective January 1, 2013, applicants for initial licensure must use a Livescan service provider to submit a set of fingerprints to the Florida Department of Law Enforcement (FDLE) for the purpose of conducting a search for any Florida and national criminal history records that may pertain to the applicant. The results of the search will be returned to the Care Provider Background Screening Clearinghouse and made available to the Department of Health for consideration during the licensure process. The fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant.
Please ensure that the Originating Agency Identification (ORI) number is provided to the Livescan service provider when you submit your fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the Livescan service provider, the Board office will not receive your fingerprint results. The applicant is fully responsible for selecting the Livescan service provider and ensuring submission of the prints to the Department of Health.
You can find an approved Livescan service provider at https://www.flhealthsource.gov/background-screening.
Please take this form with you to the Livescan service provider. Please check the Livescan service provider’s requirements to see if you need to bring any additional items. Also verify that the ORI number submitted by the Livescan service provider matches the information provided.
Process
Section 456.013(1)(a), Florida Statutes, requires an applicant to complete and submit a board-approved application to be considered for licensure. To expedite your application for licensure, you may apply online for a temporary certificate to practice in an approved area of critical need at https://mqa-vo.doh.state.fl.us/datamart/voservicesportal. All initial applications are processed in date order. An incomplete application shall expire one year after initial filing.
After an initial review, if it is determined that additional supporting documents are required to complete your application for licensure, a deficiency letter will be emailed or mailed to you within 30 calendar days outlining all outstanding supporting documents to complete your application.
The licensing process involves the collection of supporting documents to complete your application. Once all supporting documents are received and reviewed, your online status will be updated, and an initial license number will be issued within three to five business days.
Some applicants may have to appear before the Council on Physician Assistants at one of their regularly scheduled meetings before a license can be issued. Reasons for an appearance may include previous disciplinary action in another state, malpractice history, criminal history that impacts the practice of medicine or your ability to practice medicine with reasonable skill and safety, health history and other application deficiencies. Having one of these issues does not automatically require an appearance as each application is reviewed on a case-by-case basis by the Chair of the Council on Physician Assistants. You will be notified in writing if a personal appearance is required.
This temporary and restricted license allows you to practice as a physician assistant in:
- Area of critical need as determined by the State Surgeon General
- County health department
- Correctional facility
- Department of Veterans’ Affairs clinic
- Community health center funded by section s. 329, s. 330, or s. 340 of the United States Public Services Act
- Another agency or institution approved by the State Surgeon General that provides health care services to meet the needs of underserved populations in Florida
- Area for a limited time to address critical physician-specialty, demographic, or geographic needs for Florida’s physician workforce as determined by the State Surgeon General
Visit the Health Professional Shortage Area (HPSA) website for more information: https://data.hrsa.gov/tools/shortage-area/hpsa-find.
A recipient of a temporary certificate for practice in an area of critical need must, within 30 days after accepting employment, notify the Board of all approved institutions in which the licensee practices and all approved institutions where practice privileges have been denied.
Supporting Documents for Licensure:
- A complete application for licensure.
- Background screening results from an approved Livescan provider.
- An official verification of your physician assistant or medical degree.
- An official license verification from a state board of licensing authority of any state or territory.
- Letter of intent from an employer who intends to employ you in an approved area of critical need.
- Copy of your self-query of the National Practitioner Data Bank.
- Documentation pertaining to affirmative response(s) on application for licensure.
Fees
Fees | Amount |
Application Fee (non-refundable) | $0.00 |
Initial Licensing Fee | $0.00 |
Unlicensed Activity Fee | $0.00 |
Total | $0.00 |
Statutes and Rules
Florida Statutes
By clicking a link, you will be connected to the Florida Legislature website, which is the official custodian of the statutes.
Section 458.315: Temporary Certificate for Practice in Areas of Critical Need
Section 459.0076: Temporary Certificate for Practice in Areas of Critical Need
Section 456.072: Grounds for discipline; penalties; enforcement
Section 458.331: Grounds for disciplinary action; action by the board and department
Florida Administrative Code
By clicking a link, you will be connected to the Florida Department of State: State Library and Archives of Florida website, which is the official custodian of the administrative codes.
Chapter 64B8-30: Physician Assistant
Chapter 64B15-6: Physician Assistant
Active Duty Military and Veterans
Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Temporary Certificate for Active Duty Military and Veterans (ACN – Military).
Requirements
Applicants for a Rear Admiral Leroy Collins Jr. Temporary Certificate Active Duty Military and Veterans license must meet the following:
- Be licensed to practice in any jurisdiction in the United States and whose license is currently valid
AND
- Is serving as a physician on active duty in the United Stated Armed Forces
OR
- Has served as a physician in the United States Armed Forces for at least 10 years and received an honorable discharge from the military
AND
- Only practice in certain designated, approved facilities located in communities of Florida where there is a critical need for physicians
Effective July 1, 2012, section 456.0635, Florida Statutes, provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
- For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
- Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
- Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
- Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Applicants who answer “Yes” to any of the Health History questions on the application are required to submit the following documentation to the board office:
Self-Explanation – Applicants must submit a letter in your own words explaining the medical condition(s) or occurrence(s). Include a description of all treatments and diagnoses you have received for any condition(s)/impairment(s) you are/have been treated for. Include all medications prescribed and all physicians/counselors that have provided treatment.
Physician(s) Letter – Applicants must submit a statement from your treating physician(s)/counselor(s) for each condition you are/were being treated for and whether or not you are currently able to safely practice Medicine. The physician’s statement should include all DSM IIIR/ DSM IV, Axis I, II, and III diagnoses.
Applicants who have ever been denied licensure, had disciplinary action taken against their license, or have action pending against their license to practice any health care related profession by a licensing authority are required to submit the following documentation to the board:
Self-Explanation – Applicants who have listed disciplinary action on the application must submit a letter in your own words describing the circumstances of the action.
Agency Records – All relevant documentation regarding the action should be sent to the board office by the licensing agency. If the records are not available, you must have a letter on agency letterhead sent from the licensing agency attesting to their unavailability.
Any applicant who has ever been found guilty of or pled guilty or no contest/nolo contendere to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.
The Board of Medicine has created guidelines for specific offenses to be cleared in the board office; however, staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Medicine for review. Evidence of rehabilitation is important to the board members when making licensure decisions.
Applicants with prior criminal convictions are required to submit the following documentation to the board:
Self-Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.
Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.
Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
- For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
- For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
- Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
- Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
- Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
- Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.
Effective January 1, 2013, applicants for initial licensure must use a Livescan service provider to submit a set of fingerprints to the Florida Department of Law Enforcement (FDLE) for the purpose of conducting a search for any Florida and national criminal history records that may pertain to applicant. The results of the search will be returned to the Care Provider Background Screening Clearinghouse and made available to the Department for consideration during the licensure process. The fingerprints submitted by the applicant will be retained by FDLE and the Clearinghouse. All costs for conducting a criminal history background screening are borne by the applicant.
It is important to use the correct Originating Agency Identification (ORI) when submitting fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the service provider, the board office will not receive your fingerprint results, so it is extremely important to use the correct ORI when having your fingerprints scanned.
Applicants can use any FDLE approved Livescan service provider to submit their fingerprints. The applicant is fully responsible for selecting the service provider and ensuring the results are reported to the Department. If you are applying for initial licensure after December 15, 2012, You must print this form and take it with you to a Livescan service provider. For more information, FAQs, and a list of all approved Livescan service providers please visit the Department’s website at: https://www.flhealthsource.gov/background-screening and click on the Livescan Service Providers tab.
The Florida Board of Medicine general statutes require that you must have a valid Florida medical license to practice medicine in Florida.
If you have been named in any malpractice suits, or have answered “yes” to any of the questions in the application, anticipate the possibility that additional information be requested.
You can check the status of the application by clicking the “Check Status” link. Once you have submitted your application, it will take up to 10 business days before the information on your status is up to date. You will need to know your File ID number and your date of birth to access the information. Your File ID number will be given to you once you start the application.
We recommend that you do not make any commitments based upon expectation of licensure until you are actually licensed. Some applicants suffer significant costs by signing mortgages and committing to a start date prematurely.
Read instructions before and while you complete the application. Failure to do so may result in delays in processing your application.
One application is not accelerated at the expense of another, particularly if there is a premature commitment to start practicing medicine. All applicants are handled equally and fairly. The application process may take between two to six months to complete depending on your credentials. You will not be able to start work until you have been granted a full medical license.
Applicants can help expedite the application process by including all relevant materials with their application packets (medical school diploma, residency certificates, etc). We will mail you a deficiency letter approximately 30 days after receiving your application. Please refrain from contacting our office until after you have received your initial deficiency letter. E-mail contact is more efficient. Time spent on the telephone impacts time available for staff to process applications. Please direct questions or comments to info@flboardofmedicine.gov. We process applications, mail, e-mails, and telephone calls in date order.
Licenses will not be issued without the background check results and will be issued in date order.
When issuing licenses, we have a strict policy of fairness. One application will not be accelerated at the expense of another. All applications will be handled equally and fairly. Also, the less time reviewers spend responding to duplicate e-mails and telephone calls, the faster applications can be reviewed. The standard procedures for the reviewers are:
Return phone calls within 24 hours.
Check mail within one week from receipt date.
Respond to e-mails within one week.
It could take up to 10 business days to issue your license after completion of your application. It will take approximately 7 business days to receive your license in the mail after issuance. To view your license before receiving the actual license in the mail, click LOOKUP. Your license number will appear on the web site 24 to 48 hours after it is issued.
Federal Credentials Verification Services (FCVS) will primary source verify and provide a copy of the medical school transcript(s), medical school diploma, medical school verification, name change document(s), national examination score report, ECFMG certificate, and ECFMG verification. For more information about FCVS, visit their website at www.fsmb.org/licensure/fcvs.
Note: If you have not completed the FCVS certification process prior to applying for license in Florida it could take longer to receive your Florida license.
The State of Florida operates under Chapter 286, Florida Statutes, commonly referred to as the “Sunshine Law.” This law requires that board meetings are public. All information that you provide to the Department is public record and shall be open to public inspection as required by 119.07 F. S., except financial information, examination records, and patient records.
Personal Appearances before the Credentials Committee or the Board of Medicine may be required for a variety of reasons: e.g., malpractice, medical education, postgraduate training, disciplinary actions, etc. If an appearance is required, we will notify you by mail including the date, time, location, and reason(s) for the appearance. The Credentials Committee meets in conjunction with the full Board of Medicine meetings. In order for the Committee members to review all the information that is provided for this committee, other committee meetings at the same time, and for the full board meeting, a deadline for applications must be established and respected. The cut off for a complete application to be considered is six (6) weeks prior to the committee meeting. All Board and Committee meetings dates, click Meetings
Any document submitted in a language other than English must be accompanied by a literal translation. Acceptable translators are: An employee of a professional translating company, a member of a professional translation company, a member of the American Translators Association, a faculty member of the modern languages or linguistics department of a United States college or university. Translations must be prepared on letterhead paper or bear the translator’s certification seal. All information appearing on the original document must also appear on the translation each time it appears on the original document. This includes pre-printed information. For example, the letterhead of the university, titles, etc.
All stamps and seals must be translated if legible. If not legible, state that it is not legible and cannot be translated.
All signatures and photos must be identified.
All numbers must be translated unless they appear as follows: 1 2 3 4 5 6 7 8 9 0. If they do not appear on the document as they do above, they must be accurately transcribed.
Any other information on the document must be translated.
Note: Translations prepared in international countries often have certifications on the translation. If a certification is in a language other than English, it must also be translated. Omissions or errors will cause a delay in the application process.
Process
Section 456.013(1)(a), Florida Statutes, provides that a licensure application and application fee are valid for one year. Application fees are non-refundable.
To practice medicine in the state of Florida, you must have a valid Florida medical license. The licensing process involves the collection of credentials from the applicant and from other sources. Once all materials are submitted, an application specialist will review them; however, it may be necessary for the application specialist to request additional information. Our goal is to review materials as quickly as possible, but we must be thorough.
Please email questions or comments to our office at info@flboardofmedicine.gov.
We process applications, mail, e-mails, and telephone calls in date order.
Submit your application, supporting documentation, and applicable fee payment, to the following address:
Department of Health/ HMQAM
P.O. Box 6330
Tallahassee, Florida 32314-6330
Receiving your application and logging in your check usually takes about 5 business days. Once the application is logged in, it is then forwarded to the board office.
NOTE: The reason you must use the above address is because of the fees you must enclose.
Mail additional documentation or anything without a fee to the following address:
Department of Health
Medical Quality Assurance/Board of Medicine
HMQAM
4052 Bald Cypress Way, BIN #CO3
Tallahassee, Florida 32399-3253
All documents must have your name as listed on your application to ensure materials reach your application in a timely manner.
Again, we recommend that you do not make any commitments based upon expectation of licensure until you are actually licensed.
Some applicants suffer significant costs by signing mortgages and committing to a start date prematurely. One application is not accelerated at the expense of another, particularly if there is a premature commitment to start practicing medicine. All applicants are handled equally and fairly.
The State of Florida operates under Chapter 286, Florida Statutes, commonly referred to as the “Sunshine Law.” This law requires that board meetings are public. All information that you provide to the Department is public record and shall be open to public inspection as required by 119.07 F. S., except financial information, examination records, and patient records.
Fees
Application fee:
Compensated: Exempt
Non-Compensated: Exempt
Initial license fee:
Compensated: $355.00; Non-Compensated: Exempt
NICA fee:
Compensated$250.00 or $5,000.00 (please read information at www.nica.com)
Non-Compensated: Exempt
Dispensing Practitioner fee:
$100.00 (optional, this fee is for selling pharmaceuticals in your office)
Make certified checks or money orders payable to: “Department of Health” (DOH); or pay by credit card when applying online.
Statutes and Rules
Click on Chapter or Section Number to View
Florida Statutes
456.013 Department; general licensing provisions
458.3151 Temporary Certificate for active duty military and veterans practice in areas of critical need
458.331 Grounds for disciplinary action
456.035 Address of record
456.039 Designated health care professionals; information requirement for licensure
456.048 Financial responsibility requirements for certain health care practitioners
456.0635 Medicaid fraud; disqualification for license, certification, or registration
458.320 Financial responsibility
Florida Administrative Code
64B8-1.007 List of approved Forms
64B8-2.001 Definitions
64B8-3.002 Applications, Certification, Registration, and Licensure Fees
64B8-4 Licensure
64B8-5.001 Examinations
64B-2.001 Practitioner Profile
64B8-12.001 Financial Responsibility applicability
64B8-12.005 Financial Responsibility procedures
64B8-12.007 Financial Responsibility exemptions for persons not practicing in Florida; Change of status
Before practicing medicine in Florida, read Chapter 456, 458, and 766.301-.316 Florida Statutes (F. S.), and Rule Chapter 64B8, Florida Administrative Code (F.A.C). You must know and comply with the laws and rules as they pertain to your professional practice. Laws and rules are subject to change at any time. For updated information refer to the following web-sites www.leg.state.fl.us (Florida Statutes) and www.flrules.org/(Florida Administrative Code).
Processing Times
Florida law provides that an initial application must be reviewed within 30 days. Below is the average number of days at which we are currently processing.
Apply Online / Return to Login
To apply online visit MQA Services Portal to create an account or return to your account by clicking the button below.
Renew Your License – Compensated
Click on the appropriate tab below to see the Renewal Requirements, Process, Fees and Continuing Medical Education (CME) for a Medical Doctor in Areas of Critical Need/ Rear Admiral LeRoy Collins, Jr. (Compensated).
Requirements
The department will renew your license upon receipt of:
- Completed Renewal application (Mailed by the Department of Health)
- Required fees
- Verification of Employment Letter from an approved area of critical need facility.
- Updated practitioner profile. To review and approve your practitioner profile, log into MQA Online Services and select ‘Review, Update & Confirm Profile’.
- Login to Complete Physicians Workforce Survey.
- Completed Financial Responsibility form.
- Verification of your current status relating to prescribing controlled substances for the treatment of chronic nonmalignant pain
- Confirmation of required continuing education hours reported into the continuing education tracking system, CE Broker.
To ensure you receive notification from the department regarding the renewal, you must have on file with the department your current mailing address. Failure to renew an active or inactive license by the expiration date will result in the license being placed in delinquent status. Failure by a delinquent licensee to become active before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
Licensees requesting to reactivate their license from inactive or retired status are required to pay additional fees and comply with specific continuing education requirements. Please contact the board office at info@flboardofmedicine.gov to request your reactivation requirements.
A licensee who remains on inactive status for more than two consecutive biennial licensure cycles and who wishes to reactivate the license may be required to demonstrate the competency to resume active practice by sitting for a special purpose examination or by completing other reactivation requirements.
If you are currently registered to dispense medicinal drugs to your patients, you are required to renew your registration at the same time you are renewing your medical license. If you are no longer interested in dispensing medicinal drugs, you can cancel your registration by checking the appropriate box on the renewal application.
If you are not currently registered to dispense medicinal drugs and would like to register, you can complete the registration process at the time you are renewing your license by checking the appropriate box on the renewal application and paying the dispensing registration fee. The registration fee will be in addition to your renewal fee.
If you are a member of the Armed Forces of the United States on active duty who was in good standing with the board at the time of becoming active and was entitled to practice or engage in the practice of medicine in Florida, you may be eligible to be exempted from renewal requirements for the duration of active duty, and for a period of six months after discharge, but not practicing the profession in the private sector for profit.
If you are the spouse of a member of the Armed Forces of the United States, you may be eligible to be exempted from licensure renewal requirements, but only in cases of absence from the state because your spouses’ duties with the Armed Forces.
If you volunteer 160 hours of medical services to the indigent residents of Florida with incomes at or below 200% of the Federal Poverty Level during the previous biennium, you may be eligible for a waiver of your biennial renewal fee and some of the continuing education hours (no more than 25%) required for license renewal; however, the continuing education requirements for domestic violence, HIV and AIDS, and medical errors cannot be waived.
If you volunteer your services in public schools for a minimum of 80 hours a year or if retired, at least 400 hours a year, you may be eligible for a waiver of your biennial renewal fee and some of the continuing education hours (no more than 25%) required for license renewal; however, the continuing education requirements for domestic violence, HIV and AIDS, and medical errors cannot be waived.
If you are a member of the Legislature, the requirements for biennial renewal of your license shall stand continued and extended without the requirement to apply for renewal with the board or department and such license shall be an active status license throughout the period that you are a member of the Legislature and for a period of 60 days after you cease to be a member of the Legislature; however, at any time during your legislative term of office and during the 60 days after your term ends, you may file a completed application that shall consist solely of:
-
A renewal fee of $250 for each year your license was continued and extended since the last otherwise regularly scheduled biennial renewal year and each year during which the renewed license shall be effective until the next regularly scheduled biennial renewal date.
-
Documentation of completing 10 hours of continuing medical education credits for each year from the effective date of your last renewed license until the year in which you apply for renewal.
-
Compliance with practitioner profile requirements in s. 456.031(1)(a)1-8 and (b), and (4)(a), (b), and (c).
Process
As a medical doctor with an Area of Critical Need license, also known as the Rear Admiral LeRoy Collins, Jr. license, you will be required to RENEW BY MAIL.
Your license will expire at midnight, Eastern Time, January 31st of each even year. At least 90 days before your license expires, the department will mail you a renewal application to your last known address of record. You will have until midnight on the day your license expires to renew. Failure to renew an active license by the expiration date will result in the license being placed in delinquent status. Failure by a delinquent licensee to renew active or inactive before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
Failure to renew your license by the expiration date will result in the license being placed in delinquent status and a delinquent fee will be assessed in addition to the renewal fees. Failure by a delinquent licensee to become active before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
If you are currently registered to dispense medicinal drugs, you can renew your registration by paying the registration fee when you renew your medical license. If you are no longer interested in dispensing medicinal drugs, you can cancel your registration by checking the appropriate box on the renewal application.
If you are not currently registered to dispense medicinal drugs and would like to register, you can complete the registration process at the time you are renewing your license by checking the appropriate box on the renewal application and paying the dispensing registration fee. The registration fee will be in addition to your renewal fee.
To receive an exemption from the renewal requirements, please provide a copy of your orders which provides the beginning and end date of your current enlistment or a copy of your spouse’s orders. If you are a Commissioned Officer, you may provide a letter from your commanding officer that reflects the length of your contract with a beginning and end date to fulfill this requirement.
Online renewal is not available at this time for practitioners requesting this exemption. To receive an exemption from the biennial renewal fee and some of the continuing education hours (no more than 25%), you will be required to submit a letter certifying the total number of uncompensated health care service hours volunteered during the renewal cycle along with your renewal application.
No action is needed; however, at any time during your legislative term of office and during the period of 60 days after your term ends, you may file a completed renewal application as described under the renewal requirements tab.
Name changes require legal documentation showing the name change. Please submit a request including your full name as it appears on your license, profession, license number, your new name, your date of birth, the last four digits of your social security number, and your signature. Attach supporting documents, which must be one of the following:
- a copy of a state issued marriage license that includes the original signature and seal from the clerk of the court
- a divorce decree showing the name change
- a court order showing the name change (Adoption, legal name change, federal identity change)
Any one of these will be accepted unless the department has a question about the authenticity of the document. A social security card is not considered legal documentation.
Please Note: The last four digits of the SSN are requested as required by DOH Policy Number DOHP 385-LS05-12 Name Changes for Existing Licensees, which was established for security purposes due to past instances of fraudulent activity.
Fees
Note: If you were initially licensed in 2013 or later, you may see a reduction of $24 in your renewal fee.
If renewing BEFORE your license expires, your fees will be:
Active to Active | $379.00* |
Inactive to Inactive | $149.00 |
Active to Inactive | $499.00 |
Inactive to Active | $629.00* |
Active to Retired | $55.00 |
Inactive to Retired | $55.00 |
If renewing AFTER your license expires, your fees will be:
Active to Active | $729.00* |
Inactive to Inactive | $499.00 |
Active to Inactive | $949.00 |
Inactive to Active | $1,079.00* |
Active to Retired | $505.00 |
Inactive to Retired | $505.00 |
If renewing 120 day Notified Delinquent, your fees will be:
Active to Active | $1,094.00* |
Inactive to Inactive | $625.00 |
Active to Inactive | $975.00 |
Inactive to Active | $1,344.00* |
Active to Retired | $770.00 |
Inactive to Retired | $531.00 |
* If you are currently registered to dispense medicinal drugs to your patients in the regular course of your practice, you can renew your dispensing registration by paying the additional $100.00 registration fee, along with the appropriate renewal fee indicated above.
If you are not currently registered to dispense medicinal drugs and would like to register when you renew your medical license, indicate your request for registration to dispense medicinal drugs by checking the appropriate box on the renewal form and submit a $100.00 registration fee, along with the appropriate renewal fee indicated above.
Statutes and Rules
Click on Chapter or Section Number to View
Florida Statutes
458.315 Area of Critical Need
456.013 Department; general licensing provisions
456.031 Requirement for instruction on domestic violence
456.033 Requirement for instruction for certain licensees on HIV and AIDS
456.035 Address of record
456.036 Licenses; active and inactive status; delinquency
456.038 Renewal and cancellation notices
456.039 Designated health care professionals; information requirement for licensure
456.048 Financial responsibility requirements for certain health care practitioners
456.0635 Medicaid fraud; disqualification for license, certification, or registration
458.319 Renewal of license
458.3191 Physician survey
458.320 Financial responsibility
465.0276 Dispensing practitioner
766.1115 Health care providers; creation of agency relationship with governmental contractors.
766.1116 Health care practitioner; waiver of license renewal fees and continuing education
Florida Administrative Code
64B8-13.005 Continuing Education for Biennial Renewal
64B-2.001 Practitioner Profile
64B-9.001 Biennial Licensing
64B8-12.001 Financial Responsibility applicability
64B8-12.005 Financial Responsibility procedures
64B8-12.007 Financial Responsibility exemptions for persons not practicing in Florida; Change of status
64B8-13.001 Criteria for license renewal
64B8-13.005 Continuing education for biennial renewal
64B8-13.0051 Delinquent status license
64B8-3.003 Renewal fees
64B8-3.006 Dispensing fee
64B8-3.009 Unlicensed Activity fee
Renew Your License – Volunteer
Click on the appropriate tab below to see the Renewal Requirements, Process, Fees and Continuing Medical Education (CME) for a Medical Doctor in Areas of Critical Need/ Rear Admiral LeRoy Collins, Jr. (Volunteer).
Requirements
The department will renew your license upon receipt of:
- Completed Renewal application (Mailed by the Department of Health)
- Notarized Fee Waiver Affidavit for Volunteer Status
- Verification of Employment Letter from an approved area of critical need facility.
- Updated practitioner profile. To review and approve your practitioner profile, log into MQA Online Services and select ‘Review, Update & Confirm Profile’.
- Login to Complete Physicians Workforce Survey.
- Completed Financial Responsibility form.
- Verification of your current status relating to prescribing controlled substances for the treatment of chronic nonmalignant pain
- Confirmation of required continuing education hours reported into the continuing education tracking system, CE Broker.
To ensure you receive notification from the department regarding the renewal, you must have on file with the department your current mailing address. Failure to renew an active or inactive license by the expiration date will result in the license being placed in delinquent status. Failure by a delinquent licensee to become active before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
Licensees requesting to reactivate their license from inactive or retired status are required to pay additional fees and comply with specific continuing education requirements. Please contact the board office at info@flboardofmedicine.gov to request your reactivation requirements.
A licensee who remains on inactive status for more than two consecutive biennial licensure cycles and who wishes to reactivate the license may be required to demonstrate the competency to resume active practice by sitting for a special purpose examination or by completing other reactivation requirements.
If you are currently registered to dispense medicinal drugs to your patients, you are required to renew your registration at the same time you are renewing your medical license. If you are no longer interested in dispensing medicinal drugs, you can cancel your registration by checking the appropriate box on the renewal application.
If you are not currently registered to dispense medicinal drugs and would like to register, you can complete the registration process at the time you are renewing your license by checking the appropriate box on the renewal application and paying the dispensing registration fee. The registration fee will be in addition to your renewal fee.
If you are a member of the Armed Forces of the United States on active duty who was in good standing with the board at the time of becoming active and was entitled to practice or engage in the practice of medicine in Florida, you may be eligible to be exempted from renewal requirements for the duration of active duty, and for a period of six months after discharge, but not practicing the profession in the private sector for profit.
If you are the spouse of a member of the Armed Forces of the United States, you may be eligible to be exempted from licensure renewal requirements, but only in cases of absence from the state because your spouses’ duties with the Armed Forces.
If you are a member of the Legislature, the requirements for biennial renewal of your license shall stand continued and extended without the requirement to apply for renewal with the board or department and such license shall be an active status license throughout the period that you are a member of the Legislature and for a period of 60 days after you cease to be a member of the Legislature; however, at any time during your legislative term of office and during the 60 days after your term ends, you may file a completed application that shall consist solely of:
-
A renewal fee of $250 for each year your license was continued and extended since the last otherwise regularly scheduled biennial renewal year and each year during which the renewed license shall be effective until the next regularly scheduled biennial renewal date.
-
Documentation of completing 10 hours of continuing medical education credits for each year from the effective date of your last renewed license until the year in which you apply for renewal.
-
Compliance with practitioner profile requirements in s. 456.031(1)(a)1-8 and (b), and (4)(a), (b), and (c).
If you volunteer your services in public schools for a minimum of 80 hours a year or if retired, at least 400 hours a year, you may be eligible for a waiver of your biennial renewal fee and some of the continuing education hours (no more than 25%) required for license renewal; however, the continuing education requirements for domestic violence, HIV and AIDS, and medical errors cannot be waived.
Process
As a medical doctor with an Area of Critical Need license, also known as the Rear Admiral LeRoy Collins, Jr. license, you will be required to RENEW BY MAIL.
Your license will expire at midnight, Eastern Time, January 31st of each even year. At least 90 days before your license expires, the department will mail you a renewal application to your last known address of record. You will have until midnight on the day your license expires to renew. Failure to renew an active license by the expiration date will result in the license being placed in delinquent status. Failure by a delinquent licensee to renew active or inactive before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
Failure to renew your license by the expiration date will result in the license being placed in delinquent status and a delinquent fee will be assessed in addition to the renewal fees. Failure by a delinquent licensee to become active before the expiration of the current licensure cycle renders the license null and void without any further action by the board or the department.
If you are currently registered to dispense medicinal drugs, you can renew your registration by paying the registration fee when you renew your medical license. If you are no longer interested in dispensing medicinal drugs, you can cancel your registration by checking the appropriate box on the renewal application.
If you are not currently registered to dispense medicinal drugs and would like to register, you can complete the registration process at the time you are renewing your license by checking the appropriate box on the renewal application and paying the dispensing registration fee. The registration fee will be in addition to your renewal fee.
To receive an exemption from the renewal requirements, please provide a copy of your orders which provides the beginning and end date of your current enlistment or a copy of your spouse’s orders. If you are a Commissioned Officer, you may provide a letter from your commanding officer that reflects the length of your contract with a beginning and end date to fulfill this requirement.
Online renewal is not available at this time for practitioners requesting this exemption. To receive an exemption from the biennial renewal fee and some of the continuing education hours (no more than 25%), you will be required to submit a letter certifying the total number of uncompensated health care service hours volunteered during the renewal cycle along with your renewal application.
No action is needed; however, at any time during your legislative term of office and during the period of 60 days after your term ends, you may file a completed renewal application as described under the renewal requirements tab.
Name changes require legal documentation showing the name change. Please submit a request including your full name as it appears on your license, profession, license number, your new name, your date of birth, the last four digits of your social security number, and your signature. Attach supporting documents, which must be one of the following:
- a copy of a state issued marriage license that includes the original signature and seal from the clerk of the court
- a divorce decree showing the name change
- a court order showing the name change (Adoption, legal name change, federal identity change)
Any one of these will be accepted unless the department has a question about the authenticity of the document. A social security card is not considered legal documentation.
Please Note: The last four digits of the SSN are requested as required by DOH Policy Number DOHP 385-LS05-12 Name Changes for Existing Licensees, which was established for security purposes due to past instances of fraudulent activity.
Fees
All renewal fees for a medical doctor who volunteers their service in an area of critical need are waived.
Statutes and Rules
Click on Chapter or Section Number to View
Florida Statutes
458.315 Area of Critical Need
456.013 Department; general licensing provisions
456.031 Requirement for instruction on domestic violence
456.033 Requirement for instruction for certain licensees on HIV and AIDS
456.035 Address of record
456.036 Licenses; active and inactive status; delinquency
456.038 Renewal and cancellation notices
456.039 Designated health care professionals; information requirement for licensure
456.048 Financial responsibility requirements for certain health care practitioners
456.0635 Medicaid fraud; disqualification for license, certification, or registration
458.319 Renewal of license
458.3191 Physician survey
458.320 Financial responsibility
465.0276 Dispensing practitioner
766.1115 Health care providers; creation of agency relationship with governmental contractors.
766.1116 Health care practitioner; waiver of license renewal fees and continuing education
Florida Administrative Code
64B8-13.005 Continuing Education for Biennial Renewal
64B-2.001 Practitioner Profile
64B-9.001 Biennial Licensing
64B8-12.001 Financial Responsibility applicability
64B8-12.005 Financial Responsibility procedures
64B8-12.007 Financial Responsibility exemptions for persons not practicing in Florida; Change of status
64B8-13.001 Criteria for license renewal
64B8-13.005 Continuing education for biennial renewal
64B8-13.0051 Delinquent status license
64B8-3.003 Renewal fees
64B8-3.006 Dispensing fee
64B8-3.009 Unlicensed Activity fee
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