Healthcare consulting in Miami
Healthcare consulting in Miami adds a local layer to Florida's rules: inside any of Miami-Dade's cities, a practice needs both a city and a county business tax receipt, and the county now asks for a sworn declaration with every receipt under s. 205.0532, rewritten on July 1, 2026. Our office is in The Hammocks, in unincorporated Miami-Dade, and we give practices guidance on federal, state, local, payer and licensing requirements.
Our office
10201 Hammocks Blvd, Suite 157Miami, FL 33196
Monday to Friday, 9 am to 5 pm
Healthcare consulting in Miami: county and city filings, in order
State licenses come first: a new county receipt needs current state certificates from state-regulated professionals “such as physicians,” plus the NAICS code, the EIN and, when the practice doesn’t use the owner’s legal name, the fictitious-name or corporate certificate (state filings). Then, by location:
| Filing | Issued by | Cost | Timing and renewal |
|---|---|---|---|
| County certificate of use (unincorporated Miami-Dade) | Miami-Dade RER | $0.041 per sq ft, $160.23 minimum, plus an environmental fee and a 7.5% surcharge; $100.38 per inspector | After the certificate of occupancy, before opening; permanent until you move, expand, or change owner, name or activity |
| County approval of a city certificate of use | Miami-Dade RER | Not on RER’s page | Before the city acts on a new, moved, changed or expanded business, a temporary use over 45 days, or a new owner or name |
| City of Miami certificate of use, with the Fire Safety Permit | City of Miami | $50 application fee, non-refundable, then an inspections invoice | The City contacts you within 5 business days; expires every Sept 30 |
| City of Miami business tax receipt | City of Miami | Invoiced after approval; not on the City’s page | After the certificate of use, with the EIN and each professional’s state license and Social Security number; interim receipt by email |
| County business tax receipt, one per location and classification | Miami-Dade Tax Collector | Professional $60 in a city, $100 unincorporated; professional association $45 / $75 for 1–10 employees, plus $4.50 / $7.50 per added employee; clinic or medical center $150 / $250 | Oct 1 to Sept 30; late: 10% in October, then 5% a month to 25%, plus up to $250 if still unpaid 150 days after the first notice |
Sources: Miami-Dade Tax Collector, RER and Implementing Order 4-111, and City of Miami, read Oct 17–19, 2026.
The county certificate confirms that zoning allows your use and that the space meets local zoning and environmental ordinances and the state fire and building codes. At $0.041 a square foot, an office under about 3,900 square feet pays the $160.23 minimum; the fee is non-refundable, and the rates hold through Sept 30, 2027, then follow the consumer price index each Oct 1.
Healthcare business consulting in Miami: the tax receipt and the 2026 declaration
Before chapter 2026-66, the section let “any local governing authority” revoke or refuse to renew a receipt if the holder or its parent company was “doing business with Cuba.” The chapter added tax collectors, dropped the parent company, limited the test to business “in violation of federal law,” and let either ask for a sworn statement:
“Any appropriate tax collector or local governing authority may request a sworn affidavit or declaration from any individual, business, or entity attesting to whether the individual, business, or entity is doing business with Cuba in violation of federal law.”
A knowingly false declaration is perjury by false written declaration, a third-degree felony (s. 205.0532(3)). After you sign it, allow up to 3 business days before the receipt can be printed. Whether a given dealing counts is a question for your attorney.
Healthcare compliance consulting in Miami: the agency offices that license and inspect you
AHCA licenses and inspects clinics and runs Medicaid, DOH licenses practitioners, and DCF licenses substance use programs. Their Miami-Dade offices:
| Office | Address and phone | What it handles for a practice |
|---|---|---|
| AHCA Field Office 11 and AHCA’s Medicaid field office | 8333 NW 53rd St., Suite 200, 33166; (305) 593-3100 (Field Office 11) | Clinic and facility surveys, deficiency reports and plans of correction (AHCA licensing); Medicaid provider services |
| DOH-Miami-Dade, Environmental Health and Engineering | 1725 NW 167 St., Miami, FL 33056; 305-623-3500 | Biomedical waste, among its environmental programs |
| DCF Southern Region, Substance Abuse Licensing | 401 NW 2nd Ave., Suite N-722, Miami, FL 33128 | Program licenses under ch. 397 for Miami-Dade |
| Miami-Dade Tax Collector | (305) 375-5448 | County business tax receipts |
Sources: AHCA, DOH-Miami-Dade and DCF office lists, read Oct 19, 2026.
We assist with regulatory inspections, accreditation surveys, audits and corrective action plans, and we coordinate staff compliance training in HIPAA, OSHA, fraud, waste and abuse, infection control and emergency preparedness.
Business consulting services in Miami, FL: the market in numbers
Sources: AHCA enrollment report (September 2026), Census QuickFacts and Florida Health CHARTS, read Oct 17–19, 2026; shares computed.
Per 100,000 residents, Miami-Dade has 317.9 medical doctors (Florida 264.5) but 132.6 therapists, clinical social workers and counselors (Florida 142.7). Of its 627,563 Medicaid enrollees, 61.7% are in SMMC health plans, 38.1% in fee-for-service and 1,389 in PACE. Against Florida, fewer residents are 65 and over (18.3%, vs 22.8%) and more go uninsured (15.3% of those under 65, vs 13.6%), and the population has grown 3.7% since 2020 (Florida 8.9%).
Market research, competitive analysis and planning for added locations are part of our business development work.
How our healthcare consulting firm in Miami works
- Credentialing and enrollment with commercial plans, Medicare and Medicaid, then recredentialing, revalidation and roster updates (credentialing; payer enrollment).
- Compliance: policies, patient forms, internal reviews and mock surveys (healthcare compliance), plus weekly progress-note reviews (documentation audits).
- Operations: workflow reviews, SOPs and productivity metrics (operational efficiency), or a fractional COO for day-to-day oversight.
- People: HR policies, job descriptions, onboarding and training (HR and staff training); recruiting is direct hire only.
You keep final authority over hiring, contracts, finances and clinical decisions, and we work within the scope you approve in writing. When a matter needs a licensed professional, such as an attorney or an accountant, we coordinate with yours.
We prepare and submit the county and city filings in the first table for our clients.
Official sources
- Florida Statutes (2026), read Oct 19, 2026: s. 205.0532 (and the 2025 text), Laws of Florida ch. 2026-66 and s. 381.0031
- Miami-Dade: Tax Collector, business tax receipts and categories, read Oct 17, 2026; RER, certificates of use and Implementing Order 4-111, read Oct 19, 2026
- City of Miami, certificate of use and business tax receipt, read Oct 19, 2026
- AHCA, Medicaid enrollment report, September 2026 and CMS Plan Transition, read Oct 17, 2026; field offices and Medicaid field offices, read Oct 19, 2026
- DOH, Miami-Dade locations, Report a Disease and Florida Health CHARTS (medical doctors; behavioral health professionals), read Oct 19, 2026
- DCF, contacts and substance use disorder licensing, read Oct 19, 2026
- Census QuickFacts, Miami-Dade County and Florida and The Hammocks CDP, read Oct 17, 2026
Frequently asked questions
Which Medicaid health plans serve Miami-Dade?
Who licenses substance use treatment programs in Miami-Dade?
How does a Miami-Dade practice report a disease to the health department?
Do your Miami business consultants work in Spanish?
Can we meet with you at the office?
Do you only work with practices in Miami?
Talk to an advisor
You care for patients. Who’s taking care of the business?
Tell us where your practice is today. We will tell you what we would do first.