How Do I . . .

Update My Name or Address (Individual)

Note: The practice location address will display on the Internet and your license. Your practice location must be a physical location address and must not include a Post Office box.  The mailing address will only display on the Internet if you have not provided a practice location address to us.

Name of a Current Licensee - Provide a written request that clearly indicates your new name, your license number, including alpha prefix or profession, and a copy of the legal document showing the change of name, for example a marriage license or divorce decree. Please see instructions for mailing under duplicate licenses below.

Address for Individual - You may complete the Change of Address form (pdf - 99kb), print, and submit or you may submit your change of address electronically via on-line services. Access to on-line services will require a password. If you are submitting your request by letter, please provide your full name as it appears on your license, your new address, and your license number (including the alpha prefix). If you have applied for a license and have not received a license number, please include the profession. 

If you would like a duplicate or updated license reflecting the change, see obtaining a duplicate or updated license instructions.

Update My Name or Address (Establishment)

If the name or address change is for a facility that has changed location, a licensure application must be submitted. See your profession's web page for additional information.

Obtain a Duplicate or Updated License?

• Online Duplicate License Requests - you may request duplicate licenses through the Practitioner Login feature of FLHealthSource.com. After logging into the system with your personal account identification and password, select Duplicate License from the navigation bar located on the left. For those licensed professions not listed, this service will be provided in the future.
• By Mail - Send your current license or a letter requesting a duplicate license stating your full name, license number, profession, and the reason for requesting a duplicate, along with a $25.00 check or money order made payable to the Department of Health. Please mail your request and fee to Department of Health, MQA, Post Office Box 6320, Tallahassee, FL 32314-6320. You should receive a new license in two (2) or three (3) weeks.

Request a Variance or Waiver - "Strict application of uniformly applicable rule requirements can lead to unreasonable, unfair, and unintended results in particular instances. ... " (Florida Statutes, 120.542). A request for variance or waiver shall be filed with the Department of Health's Agency Clerk's Office at 4052 Bald Cypress Way, Bin #A02, Tallahassee, Florida 32399-1703.

Request a declaratory statement? - Pursuant to Rule 28-105.002, Florida Administrative Code, a petition seeking a declaratory statement shall be filed with the Department of Health's Agency Clerk's Office at 4052 Bald Cypress Way, Bin #A02, Tallahassee, Florida 32399-1703. The petition must contain certain information.