Must someone be on site while a patient is treated in Florida?
Oversight · part of The Practice Perimeter
Florida does not require a physician on the premises during every treatment — it regulates the ALTERNATIVE. Where an advanced practice registered nurse or physician assistant works at an office other than the supervising physician’s primary practice location and is NOT under that physician’s onsite supervision, §458.348(3) imposes a set of standards, and a med spa falls inside them: the subsection reaches practices providing primarily dermatologic and skin care services, which it says expressly include aesthetic skin care services.
Fla. Stat. §458.348(3) · verified Sep 1, 2026 · regulatory monitoring, not legal advice
Related Florida rules
⚠️ the supervising physician must be a dermatologist or plastic surgeon. Where the office is not the physician’s primary practice location, the nurse or assistant is not under onsite supervision, and the services are primarily dermatologic or aesthetic skin care other than plastic surgery, the physician must be board certified or board eligible in dermatology or plastic surgery as recognized by the Board under §458.3312. This is a qualification on the person, not a paperwork step, and no protocol cures its absence.
Fla. Stat. §458.348(3)(c)2. · verified Sep 1, 2026
Delegating professional responsibilities to a person the physician knows (or should know) is not qualified by training, experience, or licensure is a disciplinable offense.
Fla. Stat. §458.331(1)(w) · verified Jul 26, 2026
How other states answer this
- Alabama
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- Virginia
- Washington
Related Florida questions
- Is an exam required before a patient can be treated in Florida?
- Can the pre-treatment exam be done by telehealth in Florida?
- Who may perform the pre-treatment exam in Florida?
- Can a med spa in Florida offer compounded semaglutide or tirzepatide?
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← All Florida rules and changes · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).