CINXE.COM
FL DOH MQA Search Portal | License Verification
<!DOCTYPE html> <html> <head> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta charset="utf-8" /> <title>FL DOH MQA Search Portal | License Verification</title> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1" /> <link href="/MQASearchServices/Content/themes/base/core.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/resizable.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/selectable.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/accordion.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/autocomplete.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/button.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/dialog.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/slider.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/tabs.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/datepicker.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/progressbar.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/themes/base/theme.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/animate.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/bootstrap.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/themify-icons.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/font.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/app.css" rel="stylesheet"/> <link href="/MQASearchServices/Content/Metro/Custom.css" rel="stylesheet"/> <script src="/MQASearchServices/Scripts/modernizr-2.8.3.js"></script> <script src="/MQASearchServices/Scripts/jquery-2.1.3.js"></script> <script src="/MQASearchServices/Scripts/jquery-ui-1.11.4.js"></script> <script src="/MQASearchServices/Scripts/jquery-sortElementsPlugin.js"></script> <script src="/MQASearchServices/Scripts/bootstrap.js"></script> <script src="/MQASearchServices/Scripts/respond.js"></script> <script src="/MQASearchServices/Scripts/Metro/ui-load.js"></script> <script src="/MQASearchServices/Scripts/Metro/ui-jp.config.js"></script> <script src="/MQASearchServices/Scripts/Metro/ui-jp.js"></script> <script src="/MQASearchServices/Scripts/Metro/ui-nav.js"></script> <script src="/MQASearchServices/Scripts/Metro/ui-toggle.js"></script> <script> var BASE_URL = "/MQASearchServices"; if (BASE_URL !== "/") BASE_URL = BASE_URL + "/"; </script> <script> (function (i, s, o, g, r, a, m) { i['GoogleAnalyticsObject'] = r; i[r] = i[r] || function () { (i[r].q = i[r].q || []).push(arguments) }, i[r].l = 1 * new Date(); a = s.createElement(o), m = s.getElementsByTagName(o)[0]; a.async = 1; a.src = g; m.parentNode.insertBefore(a, m); })(window, document, 'script', '//www.google-analytics.com/analytics.js', 'ga'); ga('create', 'UA-68061728-1', 'auto'); ga('send', 'pageview'); </script> </head> <body data-ng-app=""> <div class="app app-header-fixed backGroundImage"> <!-- header --> <header id="header" class="app-header navbar bg-primary" role="menu"> <!-- navbar header --> <div class="navbar-header box-shadow-inset"> <button class="pull-right visible-xs" ui-toggle="show" target=".navbar-collapse"> <i class="ti-menu"></i> </button> <!-- brand --> <div class="navbar-brand text-lt"> <a href="http://www.floridahealth.gov/" target="_blank" title="Go to www.floridahealth.gov"> <img src="/MQASearchServices/Content/images/fl_health_clr.jpg" alt="." class="hideX"> <span class="hidden-folded m-l-xs" style="color: #ffffff; vertical-align: top; margin-top: 60px;"> Department of Health </span> </a> </div> <!-- / brand --> </div> <!-- / navbar header --> <!-- navbar collapse --> <div class="navbar-collapse hidden-xs" style="font-size: 16px;"> <!-- nav --> <ul class="nav navbar-nav navbar-left"> <li> <a href="http://www.flhealthsource.gov/" target="_blank" style="color: #ffffff;">FLHealthSource.gov</a> </li> <li> <a href="http://www.flhealthsource.gov/data-portal" target="_blank" style="color: #ffffff;">Public Data Portal</a> </li> <li> <a href="https://mqanewpractitionersearch.azurewebsites.net/" target="_blank" style="color: #ffffff;">New Licensed Health Care Practitioners</a> </li> <li> <a href="/MQASearchServices/Home"> <i class="icon glyphicon glyphicon-search text-lt"></i> Search Home </a> </li> </ul> <ul class="nav navbar-nav navbar-right"> <li> <a href="/MQASearchServices/Content/HelpFile/SiteHelp.pdf" target="_blank"><i class="icon glyphicon glyphicon-question-sign text-lt"></i> Site Help</a> </li> </ul> </div> </header> <!-- / header --> <!-- aside --> <!-- / aside --> <!-- content --> <div id="spinner" > <img style="align-content:center;" src="/MQASearchServices/Content/images/BigLoader.gif" alt=""/> </div> <div id="content" class="app-content" role="main"> <div class="p-h-md p-v pos-rlt"> <div class="alert alert-danger" style="margin-left: 80px; margin-right: 80px; display: none;"> DEVELOPMENT Region </div> <script> $(document).ready(function showModal() { if ('' === 'False') { $('#NoResultsModal').modal('show'); } if ('' === 'True') { $('#InputValidationModal').modal('show'); } }) </script> <!--No Results Modal--> <div id="NoResultsModal" class="modal fade" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal">×</button> <h4 class="modal-title">No records found</h4> </div> <div class="modal-body"> <p>No records found. Please try your search again with other search values.</p> <br /> To verify a Nurse Licensure Compact Multi-State RN or LPN License, access <a href="https://www.nursys.com/NLV/NLVTerms.aspx">NURSYS</a>. To verify authorizations under the Psychology Interjurisdictional Compact, access <a href="https://www.verifypsypact.org/PsypactDirectory">PSYPACT</a>. <br /> <p></p> </div> <div class="modal-footer"> <button type="button" class="btn btn-primary btn-sm text-center" data-dismiss="modal">OK</button> </div> </div> </div> </div> <div id="InputValidationModal" class="modal fade" role="dialog"> <div class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal">×</button> <h4 class="modal-title">Search for all practitioner</h4> </div> <div class="modal-body"> <p>If you would like to search for a complete list of licensed providers, please visit our <a href="https://mqadatadownload.azurewebsites.net/LicensureData">data portal</a>.</p> </div> <div class="modal-footer"> <button type="button" class="btn btn-primary btn-sm text-center" data-dismiss="modal">OK</button> </div> </div> </div> </div> <h2> License Verification</h2> <form action="/MQASearchServices/HealthCareProviders" method="post"><input name="__RequestVerificationToken" type="hidden" value="XzH_VHrP6yHl0tsxED1K9F5yOnpHAOyxt0HUG5CFCKxin0G47nvCkZQB9uABDargNDBoKNBD60bNvKfItgc5AUDD83Z7UfjShLZ-n3jyBtA1" /> <p class="text-center"> Complete one or more search fields. <br /> <em>(Use fewer fields to produce more results: <a href="http://www.floridahealth.gov/licensing-and-regulation/license-help/index.html" target="_blank">See Search Help</a>)</em> </p> <fieldset class="form-horizontal"> <legend></legend> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_Board">Board/Council</label> </div> <div class="col-sm-6"> <select id="BoardDD" name="SearchDto.Board" onchange="FilterProfList()"><option value="">-- Any --</option> <option value="60">ADVISORY COUNCIL OF MEDICAL PHYSICIST </option> <option value="38">BOARD OF ACUPUNCTURE </option> <option value="10">BOARD OF ATHLETIC TRAINING </option> <option value="5">BOARD OF CHIROPRACTIC MEDICINE </option> <option value="66">BOARD OF CLINICAL LABORATORY PERSONNEL </option> <option value="52">BOARD OF CSW/MFT/MHC </option> <option value="7">BOARD OF DENTISTRY </option> <option value="36">BOARD OF HEARING AID SPECIALISTS </option> <option value="14">BOARD OF MASSAGE THERAPY </option> <option value="15">BOARD OF MEDICINE </option> <option value="16">BOARD OF NATUROPATHIC MEDICINE </option> <option value="17">BOARD OF NURSING</option> <option value="56">BOARD OF OCCUPATIONAL THERAPY PRACTICE </option> <option value="20">BOARD OF OPTICIANRY </option> <option value="18">BOARD OF OPTOMETRY </option> <option value="31">BOARD OF ORTHOTISTS AND PROSTHETISTS </option> <option value="19">BOARD OF OSTEOPATHIC MEDICINE </option> <option value="22">BOARD OF PHARMACY </option> <option value="55">BOARD OF PHYSICAL THERAPY PRACTICE </option> <option value="21">BOARD OF PODIATRIC MEDICINE </option> <option value="27">BOARD OF PSYCHOLOGY </option> <option value="57">BOARD OF RESPIRATORY CARE </option> <option value="25">BUREAU OF EMERGENCY MEDICAL SERVICES </option> <option value="54">CERTIFIED SOCIAL WORKERS </option> <option value="32">COUNCIL OF LICENSED MIDWIFERY </option> <option value="61">DIETETICS AND NUTRITION PRACTICE COUNCIL </option> <option value="65">ELECTROLYSIS COUNCIL </option> <option value="26">EMS PROVIDERS </option> <option value="53">GENETIC COUNSELING </option> <option value="62">HEALTH CARE SERVICES POOLS </option> <option value="8">NURSING HOME ADMINISTRATORS </option> <option value="24">PUBLIC SAFETY TELECOMMUNICATIONS </option> <option value="76">RADIATION CONTROL </option> <option value="41">SCHOOL PSYCHOLOGY </option> <option value="30">SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY </option> <option value="96">OUT-OF-STATE TELEHEALTH PROVIDERS </option> </select> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_Profession">Profession</label> </div> <div class="col-sm-6"> <select id="ProfessionDD" name="SearchDto.Profession"><option value=""> -- Any -- </option> <option value="2403">911 Law Enforcement Officer </option> <option value="2401">911 Public Safety Telecommunicator </option> <option value="2402">911 Public Safety Telecommunicator Training Program </option> <option value="3801">Acupuncturist </option> <option value="9676">Acupuncturist Out-of-State Telehealth </option> <option value="1711">Advanced Practice Registered Nurse </option> <option value="1712">Advanced Practice Registered Nurse - Temp Certificate Area of Critical Need</option> <option value="9603">Advanced Practice Registered Nurse Out-of-State Telehealth Provider </option> <option value="1515">Anesthesiologist Assistants </option> <option value="9607">Anesthesiologist Assistants Out-of-State Telehealth Provider </option> <option value="2002">Apprentice Optician </option> <option value="9641">Apprentice Optician Out-of-State Telehealth </option> <option value="1001">Athletic Trainer </option> <option value="9639">Athletic Trainer Out-of-State Telehealth </option> <option value="3002">Audiologist </option> <option value="9672">Audiologist Out-of-State Telehealth </option> <option value="3004">Audiology Assistant </option> <option value="9679">Board Certified Assistant Behavior Analyst Out-of-State Telehealth </option> <option value="9677">Board Certified Behavior Analyst – Doctoral level Out-of-State Telehealth </option> <option value="9678">Board Certified Behavior Analyst Out-of-State Telehealth </option> <option value="1403">Board-approved Massage Therapy School </option> <option value="503">Certified Chiropractic Physician's Assistant </option> <option value="9622">Certified Chiropractic Physician's Assistant Out-of-State Telehealth Pvdr </option> <option value="5401">Certified Master Social Worker </option> <option value="9653">Certified Master Social Worker Out-of-State Telehealth </option> <option value="4401">Certified Nursing Assistant </option> <option value="9604">Certified Nursing Assistant Out-of-State Telehealth Provider </option> <option value="2105">Certified Pod X-Ray Assistant </option> <option value="5702">Certified Respiratory Therapist </option> <option value="9663">Certified Respiratory Therapist Out-of-State Telehealth </option> <option value="506">Chiropractic Faculty Certificate </option> <option value="501">Chiropractic Physician </option> <option value="9621">Chiropractic Physician Out-of-State Telehealth Provider </option> <option value="6604">Clinical Laboratories-Reference Only </option> <option value="6601">Clinical Laboratory Personnel </option> <option value="9633">Clinical Laboratory Technologist Out-of-State Telehealth </option> <option value="6602">Clinical Laboratory Trainee </option> <option value="9634">Clinical Laboratory Trainee Out-of-State Telehealth </option> <option value="6603">Clinical Laboratory Training Program </option> <option value="2203">Consultant Pharmacist </option> <option value="9611">Consultant Pharmacist Out-of-State Telehealth Provider </option> <option value="701">Dental </option> <option value="717">Dental Expert Witness Certificate </option> <option value="702">Dental Hygienist </option> <option value="704">Dental Laboratory </option> <option value="9637">Dental Out-of-State Telehealth </option> <option value="703">Dental Radiographer </option> <option value="707">Dental Residency Permits </option> <option value="706">Dental Teaching Permits </option> <option value="9638">Dental Teaching Permits Out-of-State Telehealth </option> <option value="709">Dental Temporary Certificate </option> <option value="708">Dental-Health Access Dental </option> <option value="6001">Diagnostic Radiological Physicist </option> <option value="9627">Diagnostic Radiological Physicist Out-of-State Telehealth </option> <option value="6101">Dietetics/Nutritionist </option> <option value="9666">Dietetics/Nutritionist Out-of-State Telehealth </option> <option value="6501">Electrologist </option> <option value="9668">Electrologist Out-of-State Telehealth </option> <option value="6503">Electroloysis Laser Provider </option> <option value="6502">Electrolysis Facility </option> <option value="2503">Emergency Allergy Treatment Licensee </option> <option value="9626">Emergency Allergy Treatment Licensee Out-of-State Telehealth Provider </option> <option value="2501">Emergency Medical Technician </option> <option value="9624">Emergency Medical Technician Out-of-State Telehealth Provider </option> <option value="2603">EMS Service Provider Air </option> <option value="2601">EMS Service Provider ALS </option> <option value="2602">EMS Service Provider BLS </option> <option value="1533">Exempt Pain Management Clinic </option> <option value="5301">Genetic Counselor </option> <option value="9681">Genetic Counselor Out-of-State Telehealth </option> <option value="1519">Graduate Assistant Physician </option> <option value="3601">Hearing Aid Specialist </option> <option value="9642">Hearing Aid Specialist Out-of-State Telehealth </option> <option value="3603">Hearing Aid Specialist Trainee </option> <option value="9643">Hearing Aid Specialist Trainee Out-of-State Telehealth </option> <option value="5201">Licensed Clinical Social Worker </option> <option value="9644">Licensed Clinical Social Worker Out-of-State Telehealth </option> <option value="5202">Licensed Marriage and Family Therapist </option> <option value="9645">Licensed Marriage and Family Therapist Out-of-State Telehealth </option> <option value="5203">Licensed Mental Health Counselor </option> <option value="9646">Licensed Mental Health Counselor Out-of-State Telehealth </option> <option value="1702">Licensed Practical Nurse </option> <option value="9602">Licensed Practical Nurse Out-of-State Telehealth Provider </option> <option value="1506">Limited License Medical Doctor </option> <option value="2703">Limited License Psychologist </option> <option value="9656">Limited License Psychologist Out-of-State Telehealth </option> <option value="1402">Massage Establishment </option> <option value="1401">Massage Therapist </option> <option value="9669">Massage Therapist Out-of-State Telehealth </option> <option value="1406">Massage Therapy Apprentice </option> <option value="1501">Medical Doctor </option> <option value="1517">Medical Doctor Expert Witness Certificate </option> <option value="1505">Medical Doctor Limited to Cleveland Clinic </option> <option value="1504">Medical Doctor Limited to Mayo Clinic </option> <option value="9605">Medical Doctor Out-of-State Telehealth Provider </option> <option value="1503">Medical Doctor Public Health Certificate </option> <option value="1502">Medical Doctor Public Psychiatry Certificate </option> <option value="1513">Medical Doctor Restricted </option> <option value="1509">Medical Doctor Visiting Faculty Certificate </option> <option value="1507">Medical Doctor- Temporary Area of Critical Need </option> <option value="1508">Medical Faculty Certificate </option> <option value="6004">Medical Health Physicist </option> <option value="9630">Medical Health Physicist Out-of-State Telehealth </option> <option value="6003">Medical Nuclear Radiological Physicist </option> <option value="9629">Medical Nuclear Radiological Physicist Out-of-State Telehealth </option> <option value="6007">Medical Physicist In Training </option> <option value="9631">Medical Physicist In Training Out-of-State Telehealth </option> <option value="3201">Midwifery </option> <option value="9675">Midwifery Out-of-State Telehealth </option> <option value="1601">Naturopathic Physician </option> <option value="710">Non-Profit Corporations </option> <option value="2210">Nonresident Sterile Compounding </option> <option value="2204">Nuclear Pharmacist </option> <option value="9612">Nuclear Pharmacist Out-of-State Telehealth Provider </option> <option value="1705">Nursing Education Program- PN </option> <option value="1704">Nursing Education Program- RN </option> <option value="801">Nursing Home Administrator </option> <option value="802">Nursing Home Administrator Provisional License </option> <option value="6102">Nutrition Counselor </option> <option value="9667">Nutrition Counselor Out-of-State Telehealth </option> <option value="5601">Occupational Therapist </option> <option value="9660">Occupational Therapist Out-of-State Telehealth </option> <option value="5602">Occupational Therapy Assistant </option> <option value="9661">Occupational Therapy Assistant Out-of-State Telehealth </option> <option value="5604">Occupational Therapy Doctoral Capstone Experience </option> <option value="1514">Office Surgery Registration </option> <option value="2003">Optical Establishment Permit </option> <option value="2001">Optician </option> <option value="9640">Optician Out-of-State Telehealth </option> <option value="1805">Optometric Faculty Certificate </option> <option value="1801">Optometrist </option> <option value="9623">Optometrist Out-of-State Telehealth Provider </option> <option value="1802">Optometry Branch Office </option> <option value="3104">Orthotic Fitter </option> <option value="3105">Orthotic Fitter Assistant </option> <option value="9617">Orthotic Fitter Assistant Out-of-State Telehealth Provider </option> <option value="9616">Orthotic Fitter Out-of-State Telehealth Provider </option> <option value="3109">Orthotic Resident </option> <option value="9619">Orthotic Resident Out-of-State Telehealth Provider </option> <option value="3111">Orthotic-Prosthetic Resident </option> <option value="3103">Orthotist </option> <option value="9615">Orthotist Out-of-State Telehealth Provider </option> <option value="1904">Osteopathic Faculty Certificate </option> <option value="1906">Osteopathic Graduate Assistant Physician </option> <option value="1903">Osteopathic Limited License </option> <option value="1901">Osteopathic Physician </option> <option value="1917">Osteopathic Physician Expert Witness Certificate </option> <option value="9670">Osteopathic Physician Out-of-State Telehealth </option> <option value="1902">Osteopathic Resident Registration </option> <option value="1905">Osteopathic- Temporary Area of Critical Need </option> <option value="1516">Pain Management Clinic </option> <option value="2502">Paramedic </option> <option value="9625">Paramedic Out-of-State Telehealth Provider </option> <option value="3106">Pedorthist </option> <option value="9618">Pedorthist Out-of-State Telehealth Provider </option> <option value="2201">Pharmacist </option> <option value="2202">Pharmacist Intern </option> <option value="9610">Pharmacist Out-of-State Telehealth Provider </option> <option value="2205">Pharmacy </option> <option value="2209">Pharmacy Technician Training Program </option> <option value="5501">Physical Therapist </option> <option value="5502">Physical Therapist Assistant </option> <option value="9659">Physical Therapist Assistant Out-of-State Telehealth </option> <option value="9658">Physical Therapist Out-of-State Telehealth </option> <option value="1512">Physician Assistant </option> <option value="9606">Physician Assistant Out-of-State Telehealth Provider </option> <option value="1520">Physician Assistant Temp Cert. Area of Critical Need </option> <option value="1709">PN Remedial Course </option> <option value="2101">Podiatric Physician </option> <option value="9608">Podiatric Physician Out-of-State Telehealth Provider </option> <option value="2102">Podiatric Residency Program </option> <option value="2106">Podiatric Resident Registration </option> <option value="9609">Podiatric Resident Registration Out-of-State Telehealth Provider </option> <option value="3110">Prosthetic Residents </option> <option value="9620">Prosthetic Residents Out-of-State Telehealth Provider </option> <option value="3102">Prosthetist </option> <option value="9614">Prosthetist Out-of-State Telehealth Provider </option> <option value="3101">Prosthetist-Orthotist </option> <option value="9613">Prosthetist-Orthotist Out-of-State Telehealth Provider </option> <option value="3006">Provisional Audiologist </option> <option value="9674">Provisional Audiologist Out-of-State Telehealth </option> <option value="5204">Provisional Clinical Social Worker Licensee </option> <option value="9647">Provisional Clinical Social Worker Licensee Out-of-State Telehealth </option> <option value="5205">Provisional Marriage and Family Therapist Licensee </option> <option value="9648">Provisional Marriage and Family Therapist Licensee Out-of-State Telehealth </option> <option value="5206">Provisional Mental health Counselor Licensee </option> <option value="9649">Provisional Mental health Counselor Licensee Out-of-State Telehealth </option> <option value="2702">Provisional Psychologist </option> <option value="9655">Provisional Psychologist Out-of-State Telehealth </option> <option value="3005">Provisional Speech-Language Pathologist </option> <option value="9673">Provisional Speech-Language Pathologist Out-of-State Telehealth </option> <option value="2701">Psychologist </option> <option value="9654">Psychologist Out-of-State Telehealth </option> <option value="7601">Radiologic Technology </option> <option value="9635">Radiologic Technology Out-of-State Telehealth </option> <option value="7602">Radiologist Assistant </option> <option value="9636">Radiologist Assistant Out-of-State Telehealth </option> <option value="502">Registered Chiropractic Assistant </option> <option value="5207">Registered Clinical Social Worker Intern </option> <option value="9650">Registered Clinical Social Worker Intern Out-of-State Telehealth </option> <option value="5208">Registered Marriage and Family Therapist Intern </option> <option value="9651">Registered Marriage and Family Therapist Intern Out-of-State Telehealth </option> <option value="5209">Registered Mental Health Counselor Intern </option> <option value="9652">Registered Mental Health Counselor Intern Out-of-State Telehealth </option> <option value="1701">Registered Nurse </option> <option value="9601">Registered Nurse Out-of-State Telehealth Provider </option> <option value="2208">Registered Pharmacy Technician </option> <option value="5701">Registered Respiratory Therapist </option> <option value="9662">Registered Respiratory Therapist Out-of-State Telehealth </option> <option value="5706">Registered Student Exemption </option> <option value="1510">Registration for Resident/HSE Physician </option> <option value="5703">Respiratory Care Practitioner by Exam </option> <option value="5704">Respiratory Care Practitioner Critical Care </option> <option value="9664">Respiratory Care Practitioner Critical Care Out-of-State Telehealth </option> <option value="5705">Respiratory Care Practitioner Non-Critical Care </option> <option value="9665">Respiratory Care Practitioner Non-Critical Care Out-of-State Telehealth </option> <option value="1708">RN Remedial Course </option> <option value="4101">School Psychologist </option> <option value="9657">School Psychologist Out-of-State Telehealth </option> <option value="3001">Speech-Language Pathologist </option> <option value="9671">Speech-Language Pathologist Out-of-State Telehealth </option> <option value="3003">Speech-Language Pathology Assistant </option> <option value="9680">Speech-Language Pathology Assistant Out-of-State Telehealth </option> <option value="6008">Temporary Medical Physicist </option> <option value="9632">Temporary Medical Physicist Out-of-State Telehealth </option> <option value="3202">Temporary Midwife </option> <option value="1518">Temporary Military Platform Medical Doctor </option> <option value="6002">Therapeutic Radiological Physicist </option> <option value="9628">Therapeutic Radiological Physicist Out-of-State Telehealth </option> <option value="2606">Vehicle Permit (Aircraft) </option> <option value="2604">Vehicle Permit (ALS) </option> <option value="2605">Vehicle Permits (BLS) </option> </select> <span style="font-weight:600">To verify a Nurse Licensure Compact Multi-State RN or LPN License, access <a href="https://www.nursys.com/NLV/NLVTerms.aspx" target="_blank">NURSYS</a> (as an option)</span><br> <span style="font-weight:600">To verify authorizations under the Psychology Interjurisdictional Compact, access <a href="https://www.verifypsypact.org/PsypactDirectory" target="_blank">PSYPACT</a></span> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_LicenseNumber">License Number</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_LicenseNumber" name="SearchDto.LicenseNumber" type="text" value="" /> <strong>Enter <a href="http://www.floridahealth.gov/licensing-and-regulation/license-help/_documents/info-prefixes.pdf" target="_blank">License Prefix</a> and License Number with no spaces, leading zeros or colons. Example: ME99999 or ME069999.</strong> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_BusinessName">Business Name</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_BusinessName" name="SearchDto.BusinessName" type="text" value="" /> <i>Enter Business Name for Establishments or Last Name for Practitioner</i> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_LastName">Last Name</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_LastName" name="SearchDto.LastName" type="text" value="" /> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_FirstName">First Name</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_FirstName" name="SearchDto.FirstName" type="text" value="" /> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_City">City</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_City" name="SearchDto.City" type="text" value="" /> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_County">County</label> </div> <div class="col-sm-6"> <select id="SearchDto_County" name="SearchDto.County"><option value=""> -- Any -- </option> <option value="11">ALACHUA</option> <option value="12">BAKER</option> <option value="13">BAY</option> <option value="14">BRADFORD</option> <option value="15">BREVARD</option> <option value="16">BROWARD</option> <option value="17">CALHOUN</option> <option value="18">CHARLOTTE</option> <option value="19">CITRUS</option> <option value="20">CLAY</option> <option value="21">COLLIER</option> <option value="22">COLUMBIA</option> <option value="24">DESOTO</option> <option value="25">DIXIE</option> <option value="26">DUVAL</option> <option value="27">ESCAMBIA</option> <option value="28">FLAGLER</option> <option value="29">FRANKLIN</option> <option value="30">GADSDEN</option> <option value="31">GILCHRIST</option> <option value="32">GLADES</option> <option value="33">GULF</option> <option value="34">HAMILTON</option> <option value="35">HARDEE</option> <option value="36">HENDRY</option> <option value="37">HERNANDO</option> <option value="38">HIGHLANDS</option> <option value="39">HILLSBOROUGH</option> <option value="40">HOLMES</option> <option value="41">INDIAN RIVER</option> <option value="42">JACKSON</option> <option value="43">JEFFERSON</option> <option value="44">LAFAYETTE</option> <option value="45">LAKE</option> <option value="46">LEE</option> <option value="47">LEON</option> <option value="48">LEVY</option> <option value="49">LIBERTY</option> <option value="50">MADISON</option> <option value="51">MANATEE</option> <option value="52">MARION</option> <option value="53">MARTIN</option> <option value="23">MIAMI-DADE</option> <option value="54">MONROE</option> <option value="55">NASSAU</option> <option value="56">OKALOOSA</option> <option value="57">OKEECHOBEE</option> <option value="58">ORANGE</option> <option value="59">OSCEOLA</option> <option value="60">PALM BEACH</option> <option value="61">PASCO</option> <option value="62">PINELLAS</option> <option value="63">POLK</option> <option value="64">PUTNAM</option> <option value="67">SANTA ROSA</option> <option value="68">SARASOTA</option> <option value="69">SEMINOLE</option> <option value="65">ST.JOHNS</option> <option value="66">ST.LUCIE</option> <option value="70">SUMTER</option> <option value="71">SUWANNEE</option> <option value="72">TAYLOR</option> <option value="73">UNION</option> <option value="74">VOLUSIA</option> <option value="75">WAKULLA</option> <option value="76">WALTON</option> <option value="77">WASHINGTON</option> </select> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_ZipCode">Zip Code</label> </div> <div class="col-sm-6"> <input class="text-box single-line" id="SearchDto_ZipCode" name="SearchDto.ZipCode" type="text" value="" /> </div> </div> <div class="form-group"> <div class="col-sm-4 control-label"> <label for="SearchDto_LicenseStatus">License Status</label> </div> <div class="col-sm-6"> <select id="SearchDto_LicenseStatus" name="SearchDto.LicenseStatus"><option value="ALL">All statuses</option> <option value="ACT">Practicing statuses only (i.e. Clear, Military, Obligations, Probation)</option> <option value="PREV">Non-practicing statuses only (i.e. Null and Void, Retired, Closed)</option> </select> </div> </div> <p class="text-center"> <input type="submit" value="Search" class="btn btn-primary" onclick="ShowSpinner()" /> <a class="btn btn-primary" href="/MQASearchServices/HealthCareProviders" onclick="ShowSpinner()">Reset</a> </p> </fieldset> </form> </div> </div> <br /><br /> <!-- / content --> <!-- footer --> <footer id="footer" class="app-footer bg-primary" 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