state of florida department of health
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DH-MQA 1249, Revised 05/2020, Rule 64B15-12.010, F.A.C. Page 1 of 21
State of Florida
Department of Health Board of Osteopathic Medicine
Application for Temporary Certificate for
Practice in an Area of Critical Need
Board of Osteopathic Medicine 4052 Bald Cypress Way, Bin #C-06
Tallahassee, FL 32399-3256 (850) 488-0595
Section 459.0076, Florida Statutes
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