Chiropractic Permits & Licenses in Miami, Florida

Chiropractic services are exempt from sales tax. However, sale of non-exempt medical devices (e.g., back supports, orthotics not custom-fitted) may be taxable. Prescription by a licensed chiropractor may qualify for exemption under certain conditions.

Must complete 40 hours of approved continuing education, including 2 hours in medical errors prevention and 2 in domestic violence.

Required in all Florida counties; apply through county tax collector. Specific fee schedules on county tax collector sites (e.g., Miami-Dade: https://www.miamidade.gov/taxcollector/business_tax_receipts.asp)

Many cities require separate city BTR in addition to county (e.g., Jacksonville: https://www.jacksonville.gov/departments/finance-and-administration/customer-service/business-tax). Confirm with specific city clerk.

Chiropractic offices typically allowed in commercial (C-1/C-2) or professional office (PO) zones. Home-based may require home occupation permit if compliant (e.g., Orange County: https://www.orangecountyfl.net/Zoning/HomeOccupations.aspx).

Limited clients/day, no external signage; chiropractic may qualify if low-impact (not all counties allow professional services at home).

Required for office build-out (e.g., Hillsborough County: https://hcfl.gov/residents/property-owners-and-renters/building-and-growth-management/permitting).

Size/type restrictions per zoning district (e.g., max 32 sq ft for professional offices in many areas).

Required for chiropractic clinics with treatment rooms (e.g., Palm Beach County: https://discover.pbc.gov/pbcflfire/Pages/FirePrevention.aspx).

Confirms zoning, building, fire compliance.

False alarm ordinances in most counties (e.g., Pinellas: https://pinellas.gov/alarm-registration/).

Generally not required for chiropractic unless ancillary services like hydrotherapy; confirm with local DOH.

Required for all LLCs. Annual report required separately (see below).

Applies to all Florida LLCs. Fee unchanged as of 2024.

Requires graduation from CCE-accredited chiropractic college, passage of NBCE Parts I-IV exams, Florida laws/exam, and background check. Applies to practitioners, not entity.

Required for each physical location where chiropractic services provided. Must designate licensed supervising chiropractor. Premises inspected.

Required if business operates under assumed/DBA name. Renews every 5 years ($50). County publication may also apply locally.

60-hour board-approved course required for physicians. Most chiropractors obtain this.

Chiropractic services are generally exempt from Florida sales tax. However, tangible personal property sold (e.g., therapeutic devices) may be subject to 6% state sales tax. Registration required only if making taxable sales.

Florida does not impose a corporate income tax on pass-through entities (e.g., default LLCs taxed as disregarded entities or partnerships). Applies only if the LLC has elected corporate tax treatment and meets filing thresholds.

Required for all employers in Florida who withhold state income tax (though Florida has no state income tax, this applies to federal withholding compliance and reporting). Registration also supports compliance with federal Form W-4 requirements and IRS reporting.

All employers with employees in Florida must register for Reemployment Assistance (unemployment insurance). New employers pay a standard rate of 2.7% on the first $7,000 of each employee’s wages annually until experience rating is established.

Part of zoning/site plan review.

Required for chiropractic clinics with treatment rooms. Mandatory before Certificate of Occupancy is issued.

Exempt if sole proprietor with no employees. Chiropractors who employ staff (e.g., assistants, receptionists) must carry coverage. Applies to all businesses in Florida with employees, not just chiropractic. Mandated under Florida Statutes §440.10 and §440.505.

Not legally mandated by Florida state law for chiropractic practices specifically, but strongly recommended. May be contractually required by lease agreements or service contracts. Considered standard risk management for patient injury claims (e.g., slips and falls).

Not currently mandated by Florida law for licensure, but highly recommended and often required by hospitals, clinics, or third-party payers. The Florida Board of Chiropractic Medicine does not require proof of malpractice insurance to obtain or renew a license. However, failure to carry coverage may expose the practitioner to personal liability in malpractice claims.

Required under Florida Statute §324.021 for all motor vehicles registered in Florida. Applies if the chiropractic LLC owns or leases a vehicle used for business purposes (e.g., mobile chiropractic services, equipment transport). Personal auto policies do not cover business use.

Florida does not require a surety bond (license bond) for chiropractic licensure or LLC registration. Licensing is based on education, examination, and fees, not bonding. This differs from certain trades or contractors.

Not mandated by Florida law, but strongly recommended if the chiropractic practice sells or dispenses products to patients. General liability policies often exclude product liability unless specifically endorsed. Common products include orthotics, nutritional supplements, and TENS units.

Only applicable if the chiropractic business hosts events where alcohol is served or sold. Most chiropractic offices do not serve alcohol; therefore, this is not typically required. If applicable, a liquor license from ABT would be required, along with liability insurance.

Required for all LLCs, including single-member LLCs that elect to be taxed as corporations or have employees. Even if not required, it is recommended for opening business bank accounts. Chiropractic practices must have an EIN to report payroll taxes if they have employees.

HIPAA requires all workforce members (including owners) to receive annual training on privacy and security policies. Documentation of training must be retained for six years. Required under 45 CFR §164.530(b).

Covered entities must conduct an annual security risk assessment to identify vulnerabilities in ePHI systems. Required under HIPAA Security Rule (45 CFR §164.308(a)(1)). Documentation must be retained for six years.

Florida requires all employers with four or more employees (full- or part-time) to carry workers’ compensation insurance. Chiropractic employers with fewer than four employees are exempt unless they are construction-related.

Florida repealed its corporate franchise tax effective January 1, 2018. No franchise or gross receipts tax is currently imposed on LLCs or corporations for the privilege of doing business in Florida.

All Florida counties and many municipalities require a Business Tax Receipt (BTR) for chiropractic practices. This is not a state tax but a local privilege to do business. Fees vary by location and number of employees. Must be renewed annually.

Even single-member LLCs may need an EIN for banking or tax purposes. Obtained via IRS Form SS-4 or online application. Not required for sole proprietors with no employees, but recommended for LLCs.

A single-member LLC is disregarded for federal tax purposes and reports income on Schedule C (Form 1040). Multi-member LLCs are taxed as partnerships and must file Form 1065. Chiropractors are subject to self-employment tax (15.3%) on net earnings. This applies regardless of practice size.

Applies to chiropractic clinics with employees. Employers must provide a workplace free from recognized hazards likely to cause death or serious harm. Specific requirements include bloodborne pathogens training (29 CFR 1910.1030) if handling sharps (e.g., acupuncture needles), hazard communication (29 CFR 1910.1200) for chemicals, and injury recordkeeping (OSHA Form 300/301/300A) for businesses with 11+ employees.

All chiropractic offices open to the public must comply with ADA Title III, including physical access (ramps, door widths, restroom accessibility), accessible websites (per DOJ guidance), and policies for service animals. Applies regardless of number of employees or practice size.

Federal regulations under RCRA (Resource Conservation and Recovery Act) apply only if the chiropractic practice generates hazardous waste (e.g., from acupuncture with needle use, chemical sterilants). Most standard chiropractic practices do not generate federally regulated hazardous waste. Non-hazardous medical waste (e.g., gloves, gauze) is regulated at the state level (Florida Department of Health).

Chiropractic businesses must ensure advertising is truthful and not misleading under FTC Act Section 5. This includes online claims about treatment efficacy, testimonials, and before/after images. The FTC has taken action against chiropractors for unsubstantiated claims. Applies to all marketing materials, including websites and social media.

All employers, including chiropractic LLCs, must complete Form I-9 for each employee to verify identity and work authorization. Employers must retain forms for 3 years after hire or 1 year after employment ends, whichever is later. Applies to all U.S. employers.

Applies to chiropractic practices with employees. Requires payment of federal minimum wage ($7.25/hr), overtime (1.5x regular rate after 40 hours/week), and proper recordkeeping. Exemptions may apply for licensed chiropractors classified as professionals. Applies regardless of practice size if employees are present.

Requires eligible employees to be granted up to 12 weeks of unpaid, job-protected leave for qualifying medical or family reasons. Only applies to chiropractic practices meeting the 50-employee threshold within a 75-mile radius. Most small practices are exempt.

Chiropractors using FDA-regulated Class I, II, or III devices (e.g., TENS units, X-ray machines) must use them in accordance with labeling and applicable regulations. The practice is not required to register as a manufacturer unless it modifies or reconditions devices. However, misuse (e.g., off-label use) may trigger enforcement.

Required if the LLC pays $600 or more to a non-employee service provider (e.g., massage therapist, billing consultant). Applies regardless of business type. Form 1099-NEC must be issued to the recipient and filed with the IRS.

Most Florida counties and cities require a local business tax receipt (commonly called a 'business license') to operate. This is separate from state licensing. Fees and deadlines vary by jurisdiction. Must be renewed annually.

All Florida LLCs must file an Annual Report each year by May 31 to remain active. The report includes business address, registered agent, and management information. Filing is done online via Sunbiz.org.

Chiropractors must complete 26 hours of board-approved continuing education every two years, including 2 hours in Florida laws and rules, 2 hours in infection control, and 2 hours in prevention of medical errors. CE must be completed prior to license renewal.

LLCs taxed as S-corps must file Form 1120-S annually. Employers must file Form 941 (quarterly federal tax return) and Form 940 (Federal Unemployment Tax) annually. Deadlines depend on tax classification and payroll activity.

Chiropractic services are generally exempt from Florida sales tax, but sale of tangible goods (e.g., braces, supplements) may be taxable. Businesses collecting sales tax must register and file returns on a schedule assigned by DOR.

Employers must display the OSHA Job Safety and Health – It's the Law poster (OSHA 3165) in a prominent location accessible to employees. Available for free download from OSHA website.

Employers in Florida must display current state and federal labor law posters, including Minimum Wage, Equal Employment Opportunity, and Workers’ Compensation notices. The Florida Department of Economic Opportunity provides a combined poster.

Florida law requires that the current, unexpired license of the practicing chiropractor be conspicuously displayed in the office. This applies to all locations where services are rendered.

All commercial buildings in Florida, including chiropractic offices, are subject to annual fire safety inspections. The inspection ensures compliance with fire exits, extinguishers, alarms, and occupancy load. Conducted by local fire department or state fire marshal.

Chiropractors must retain patient records for at least five years from the date of last service. For minors, records must be kept for five years after the patient turns 18. Records must be available for inspection by the Board upon request.