Current Licensees

Information Format - You have the option of downloading the documents below. They are provided in a PDF file format, which requires Adobe PDF Reader to download. They will open in a new window.

Frequently Requested Forms

• Address Change form (pdf - 39kb)

• Supervision Data (pdf - 15kb)
  You may use our License Look Up function to ensure your proposed supervising physician is registered to dispense.

• Voluntary Relinquishment (pdf - 26kb)

• Request Change to Prescribing Physician Assistant License (pdf- 109kb)
• Update Regarding Supervision Data Forms (pdf - 26kb)

ATTN: Dispensing PA’s
 
You may only dispense for your supervising physician in compliance with the following requirements:
1. Your supervising physician is registered as a dispensing practitioner with the Board of Medicine
2. You must be registered as a prescribing PA with the Board of Medicine
3. You may only dispense within the scope of practice of your supervising physician
4. You may not dispense controlled substances

Continuing Education

How Do I Change My Name, Address or Request a Duplicate License?

Obtain a Written License Certification

The Federation of State Medical Boards provides primary source verification of Physician Assistant’s credentials, which is acceptable by the Florida Council on Physician Assistants. For information on how to establish a permanent lifetime portfolio of primary source verification call the Federation Credentials Verification Service at (888) 275-3287 or visit their web site at www.fsmb.org

2006 CME Audit Report (pdf - 100kb)