A neurotoxin injection is a prescription medication going into your face. Under Florida law that is the practice of medicine, which puts real limits on who may hold the syringe and what has to happen before they do.
Under Florida law, physicians may inject neurotoxins and dermal fillers, and may delegate. Physician assistants and advanced practice registered nurses may inject within their scope under a supervising physician's written protocol. Estheticians, cosmetologists and medical assistants may not inject at all. A face-to-face physician evaluation comes first.
Botulinum toxin and dermal fillers are prescription products. Administering one means placing a prescription medication into facial tissue near nerves, vessels and the eye, and managing what happens if it goes wrong. Florida draws the line accordingly: injecting neurotoxin or filler is the practice of medicine, and medical spas are regulated as medical clinics rather than as salons.
That framing explains everything else on this page. If injecting is medicine, then it takes a medical license or a proper delegation from one, a prescriber has to authorise the treatment for you specifically, and someone qualified has to examine you before any of it happens.
A note on training: completing an injectables course does not create authority to inject. Training sits on top of a license that already permits the act. Both are needed, and only one of them can be bought in a weekend.
The rule with the most practical effect on your appointment is the evaluation requirement. Florida requires a face-to-face physician evaluation before neurotoxin or filler treatment, and a telehealth visit does not satisfy it, even though telehealth is permitted for plenty of other medical consultations. That evaluation should cover your medical history, your medications, what you actually want, and whether treatment is appropriate for you at all.
So an intake process that consists of a web form, a photo upload, and a video call with a prescriber in another state is not the Florida standard for injectables. Neither is a practice where nobody can tell you who the medical director is.
We built this practice around the standard above, so the answers are short. Farah Kalnoky, PA-C, owner and lead provider, is the injector. Beach Glo is physician-owned, and our medical director Achilles Kalnoky, MD holds active Florida medical license ME115088 and is on site, with his family medicine practice next door for the past ten years.
You do not have to take our word for the license. Florida licenses are public record, and the Department of Health runs a free license verification lookup where you can check it in under a minute. Our approach to sourcing, screening and supervision is written out on our safety standards page, and what we actually do with Botox and dermal filler is on its own page, natural-results philosophy included.
We are describing this practice, not grading anyone else's. Plenty of Sarasota providers run the same way. You are entitled to ask, and to get an answer without friction.
This page is general information about Florida rules and is not legal advice. Regulations and board interpretations change, and the registered nurse question in particular has moved more than once. We review this page and update it as guidance changes.
No. Estheticians and cosmetologists are licensed for skincare and cosmetic services, not the practice of medicine, and injecting a prescription medication sits outside that license. The same applies to medical assistants and to anyone without a medical or nursing license. Doing it anyway exposes both the individual and the business to allegations of unlicensed practice.
This one is genuinely unsettled. The Florida Board of Nursing has issued declaratory statements, including in 2023 and 2024, permitting an RN to administer cosmetic injections where a physician has examined the patient, ordered the treatment, and delegated the task. The Board has stressed that those statements apply to each petitioner's specific circumstances rather than granting blanket approval. LPNs are not permitted to perform these injections.
Yes. Injectables are treated as the practice of medicine here, and a face-to-face physician evaluation is required before treatment. A telehealth visit does not satisfy that requirement for injectables, even though telehealth is permitted for many other consultations. The evaluation should cover your history and whether treatment is appropriate for you.
Florida licenses are public record. The Department of Health runs a free license verification tool where you can look up a physician, physician assistant or nurse by name and confirm the license is active. Any practice that gets uncomfortable when you ask for the name of its injector or medical director has told you something useful.
Farah Kalnoky, PA-C, owner and lead provider. Beach Glo is physician-owned, and our medical director Achilles Kalnoky, MD holds active Florida license ME115088 and is on site. You can verify it yourself through the state lookup above.
Beach Glo is physician-owned, with Dr. Kalnoky, MD on site and a family medicine practice next door for ten years. His Florida license is public record, and we link to it.
Our natural-results philosophy, and what an expert injector actually does differently.
Learn more →Achilles Kalnoky, MD, Florida license ME115088, on site. Verify it yourself.
Learn more →How we source, screen and supervise, written down so you can hold us to it.
Learn more →Online booking takes about a minute, and your appointment is confirmed on the spot.