What Florida requires to open a med spa: ownership rules, the AHCA clinic license, the medical director, who may inject, and what it costs.
Yes. Florida has no corporate-practice-of-medicine ban, so an RN, esthetician, investor or LLC can own a med spa. If the business is not wholly owned by licensed health care practitioners, it must obtain an AHCA Health Care Clinic license under Chapter 400 Part X, Florida Statutes.
When the clinic is not wholly owned by licensed practitioners and provides health care services (injectables, lasers, IV therapy, prescription skincare). Practitioner-owned clinics apply instead for a Certificate of Exemption. Both are issued by AHCA and appear on FloridaHealthFinder.
Application and biennial renewal fees run roughly $2,000, plus proof of financial ability, a named medical director's attestation, background screening for owners and the director, and an inspection. Allow 60–90 days.
A Florida-licensed physician (MD or DO) who agrees in writing to supervise, reviews protocols, and is responsible for the clinic's medical services. Some clinics use APRNs with autonomous-practice registration for services within their scope, but the AHCA license requires a physician or other qualifying licensee as medical/clinic director.
Injectables: MD/DO, PA, APRN; RNs under direct physician supervision. Laser hair removal: physicians, PAs, APRNs, or certified electrologists under supervision. Estheticians are limited to cosmetic services such as facials, microdermabrasion and superficial peels.
Typical build-outs run $150,000–$500,000 including lease deposits, a cosmetic laser ($50,000–$150,000), initial injectable inventory, EMR and consent software, malpractice and general liability insurance, and the medical director's fee ($1,500–$4,000 a month is common).
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