What Do I Need to Open an HRT, BHRT, or TRT Clinic in Florida?

Direct answer

There is no single “TRT clinic license” or “BHRT clinic license” in Florida. The owner defines the business structure, physical location, practitioners, services, prescribing model, medication pathway, and AHCA status before determining which requirements apply. If you offer testosterone, you are also operating a Schedule III controlled-substance service line, which adds compliance layers.

Open the full explanation5 sections and primary sources

What ownership, location, and AHCA questions come first?

Define the legal entity, owners, physical location, services, and payer model (Sunbiz + local permitting). Then determine whether the entity requires Health Care Clinic licensure, fits a statutory exclusion, or should seek a Certificate of Exemption. Cash pay alone is not the legal answer.

Which professional roles and controlled-substance requirements apply?

Identify who evaluates, diagnoses, prescribes, administers, performs pellet procedures, monitors, and handles escalation. Because testosterone is Schedule III, prescribers need appropriate authority and current DEA registration, and the clinic needs a controlled-substance workflow.

What pharmacy and medication model does an HRT clinic need?

Distinguish commercial products vs compounded products, patient-specific prescriptions, office administration, dispensing, storage, inventory, and controlled-substance handling. These are separate workflows.

Who is responsible for the clinic’s medical structure?

Identify who is responsible for the clinic’s medical structure and how new hormone services enter the practice. That governance is MFMD’s role once the business is defined.

Owner takeaway

Build the clinic structure before building the hormone membership program. Confirm AHCA status with your consultant or counsel first.

Primary sources

Review the cited source before applying the answer to a facility.

Separate the public question from the facility decision.

First confirm the facility type, AHCA or exemption status, payer model, licensed roster, and services. Then check the current official source and document who evaluates, prescribes, orders, administers, supervises, and escalates an exception.

MFMD can structure facility governance and present the proposed services and responsibilities to a physician. Clinical authority and acceptance remain with the reviewing physician.