If you have any questions or need assistance in completing this form, please contact
the Department of Business and Professional Regulation, Division of Drugs, Devices & Cosmetics 850-717-1800.
Notice regarding Florida Public Records Law under Florida law: all communications received by this Department are public record unless a specific exemption applies in statute. Please refer to Chapters 455 and 119, Florida Statutes for applicable exemptions.
All requests for publications, documents, forms, applications for licenses, permits and other similar certifications can be obtained by contacting the Customer Contact Center.
Walter Copeland, Division Director
Division of Drugs, Devices and Cosmetics
2601 Blair Stone Road
Tallahassee, FL 32399-1047