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Send a letter to the AHCA Long Term Care Services Unit, 2727 Mahan Drive Mail Stop 33, Tallahassee, FL 32308 to request an address change, giving your registration number, your old address, the new address, and new telephone number, fax number and email address if changed.
In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid.
Renewal Instructions Go to .flhealthsource.gov and click the Renew A License button. Enter your Personal Identifying Information (PII), then click the Login button. Confirm or update your MQA Services Account email address, then click the Continue button.
Registering User Name and Generating a User Agreement See Online Instruction Guide [ Go to the AHCA Portal to register a User Name/ID and Password. Select the Online Licensure system. Send the signed User Agreement(s) to the Agency for approval.
Registering User Name and Generating a User Agreement See Online Instruction Guide [ Go to the AHCA Portal to register a User Name/ID and Password. Select the Online Licensure system. Send the signed User Agreement(s) to the Agency for approval.
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As a general rule, every clinic must obtain a license from the Agency for Health Care Administration, (AHCA).

ahca form 3110