Renewal - Change of Ownership - Reporting Changes
Renewal
All licensed health care clinics must apply for the renewal of their license at least 60-days before the license's expiration date. Courtesy renewal reminder postcards are currently mailed approximately 120 days prior to expiration. To ensure that you receive timely notice, please visit https://healthfinder.fl.gov/ to verify that your mailing address is accurate.
Renew Online - All renewal applicants must apply online by submitting the online licensure application, fees, and supporting documents electronically through the Agency's Online Portal.
Change of Ownership
Change of ownership means an event in which the licensee sells or otherwise transfers its ownership to a different individual or entity as evidenced by a change in federal employer identification number or taxpayer identification number, or an event in which fifty-one percent (51%) or more of the ownership, shares, membership, or controlling interest of a licensee is in any manner transferred or otherwise assigned.
A change of ownership application, fees, and all other required forms must be received by the agency at least 60 days prior to the date of change of ownership. Refer to Licensing Requirements for more information. Complete and submit the
Health Care Clinic Licensing Application
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118.7 kB
]
,
Health Care Licensing Application Addendum
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140 kB
]
, and
Proof of Financial Ability to Operate Form
[
431 kB
]
.
Address Change
Health Care Clinics are required to request a change of address by submitting a completed Health Care Clinic Licensing Application. The application must be received by the Agency 21 to 120 days in advance of the effective date of the change of location. Refer to Rule 59A-35.040(2)(b)(9), F.A.C.
If the applicant is required to register or file with the Florida Secretary of State, Division of Corporations, the mailing address submitted with the licensure application for the applicant must be the same as the information registered with the Division of Corporations. Refer to Rule 59A-35.060(4), F.A.C.
Failure to submit an application prior to a change of address constitutes unlicensed activity. Refer to Rule 59A-35.040(4), F.A.C.
Applications received prior to the change of address but less than 21 days in advance will be subject to a $500 fine. Refer to Rule 59A-35.040(3), F.A.C.
Name Change
Health Care Clinics are required to request a name change by submitting a completed Health Care Clinic Licensing Application. Requests to change the name of a health care clinic must be received by the Agency 60 to 120 days in advance of the requested effective date. Refer to Rule 59A-35.040(2)(c), F.A.C.
If the applicant is required to register or file with the Florida Secretary of State, Division of Corporations, the principal and fictitious name submitted with the licensure application for the applicant must be the same as the information registered with the Division of Corporations. Refer to Rule 59A-35.060(4), F.A.C.
Applications received prior to the name change but less than 60 days in advance will be subject to a $500 fine. Refer to Rule 59A-35.040(3), F.A.C.
Other Changes
Any information required to be reported to the agency must be submitted within 21 calendar days from the effective date of the change, as required by s. 408.810(3), Florida Statutes. Changes must be reported by submitting a completed Health Care Licensing Application, and if applicable, the Health Care Licensing Application Addendum.
Voluntary Termination of a License
A licensee must inform the agency not less than 30 days prior to the discontinuance of operation and comply with the requirements listed in Chapter 408.810(4), Florida Statutes.
Application Forms
Health Care Clinic Licensing Application
Medical/Clinic Director Attestation Form
