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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.
Address for Individual
- You may complete the Change
of Address form, print, and submit or you
may write a letter requesting the change or submit your change
of address electronically. If you use the general
electronic change of address request form, you will need to
provide the control number from your license before it can be
processed. Also, you will need to indicate whether you are
requesting a Mailing Address or Practice
Location Address change and 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.
Mail to: MQA Communication Services, 4052 Bald Cypress Way Bin
#C01, Tallahassee, FL 32399-3251, or fax to 850-487-9626.
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 MQA
Services. 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. |
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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)
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.
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