Welcome! Thank you for choosing Access Marijuana RX (AMRX) as your medical marijuana clinical caregiver. We believe in the medical benefits of cannabis and work hard every day to help make its healing properties available to all of those in need. At AMRX, you can expect compassionate delivery of care as well as helpful coordination and navigation through the state of Florida’s rules and regulations. You can also rely on access to an experienced multidisciplinary clinical team trained in cannabis medicine to evaluate your health, objectives, current treatments, as well as costs and options. We will: · assess your health and goals · assist you with the Dept of Health applications · review treatment options and plan a treatment strategy · educate and update you on dispensary options The AMRX team will provide comprehensive certification evaluations as directed by the state, be available for follow up with you regularly to ensure your medication is effective, provide effective dosing guidance and help you reduce prescription drug dependence. At our medical office, you can expect a professional, warm and caring environment dedicated to making you feel comfortable and secure in your quest to find healing through medical marijuana. Our Warmest Regards, · inform you of new product offerings · implement and support your care · evaluate and adjust your treatment until we find results
The AMRX Team
625 6th Ave., S. Suite 475, St. Petersburg, FL 33701 | 888-736-0266 | AccessMarijuanaRX.com
Review of Medical Marijuana
Marijuana, also known as cannabis is a flowering plant of the genus Sativa. It has been around for thousands of years. In fact, throughout recorded history including every major human civilization, there has been reference to cannabis use either for medical use or for religious or ceremonial use. The use of cannabis medicinally is well documented. It was useful for many ailments and was, in fact, on all formularies until the mid 1900s. Marijuana was targeted by US federal drug agencies because of its obscurity among most Americans. At that time, its use was primarily limited to African Americans and Mexican immigrants. In fact, the name marijuana began as slang used by Mexicans, but later became a recognized term still used today. A media propaganda campaign was instituted and found to be very successful, making marijuana one of the most feared substances in American history. Social unrest around the time of the VietnamWar and military sponsored research into the effects of cannabis began the slow tide that later changed the way most Americans view this plant. Today, the majority of Americans appreciate the medical potential of cannabis and more than 26 states have passed legislation to legalize its medical use. The cannabis plant contains over 180 active chemical ingredients. These are comprised of cannabinoids, terpenes, and flavonoids and each have potential therapeutic potential. The chemical structure of the cannabinoid 9-tetrahydrocannabinol (THC) was first identified in the laboratory of Rafael Mechoulam in Israel in 1965. Today he is considered the “father of cannabis”. Of all of the cannabinoids found in the cannabis plant, we understand only a very few. The two cannabinoids most widely studied are THC (tetrahydrocannabinol) and CBD (cannabidiol). These substances have been found to act on receptors found in the human body called Endocannabinoid Receptors. The discovery of endocannabinoid receptors, lead researchers to look for the reason of their existence in the human body. This led to the discovery of the Human Endocannabinoid System (ES). The CB1 and CB2 endocannabinoid receptors found in the ES are found throughout the central nervous system, in many organs, and within the immune system. In fact, CB1 receptors are thought to be the most prevalent receptor in the central nervous system. The ES plays a role in many physiological functions - from heart and lungs to digestive, endocrine, immune, and reproductive physiology, to your mind and emotions. Although the mechanisms are not yet fully understood, we know cannabinoid receptors play a role in things like metabolism, mood, cravings, pain, immunity and more. According to cannabis expert Dr. Dustin Sulak:
Research consistently shows that its rich complement of compounds work synergistically within the body’s own endocannabinoid system to help maintain homeostasis and restore health, including being a valuable weapon in today’s anti-cancer arsenal. Even our pets are beginning to reap the powerful healing benefits of this ancient herb. More than 60 US and international health organizations support legalization of medical marijuana. The US lags far behind in removing the barriers that prevent access to this powerful medicinal herb, which has already been decriminalized in many countries including Canada, the Netherlands, Spain, Israel, and Germany. It is likely that even more health benefits will be discovered as new studies emerge. “The endogenous cannabinoid system, named after the plant that led to its discovery, is perhaps the most important physiologic system involved in establishing and maintaining human health. In each tissue, the cannabinoid system performs different tasks... But the goal is always the same: homeostasis, the maintenance of a stable internal environment despite fluctuations in the external environment.”
Is Medical Marijuana Safe?
Cannabis also known as marijuana has been safely used by humans for thousands of years.
Is Medical Marijuana an Option for Chronic Pain Patients? Since 1999, overdose deaths involving prescription opioids have quadrupled, according to the Centers for Disease Control and Prevention (CDC). By 2020, the Substance Abuse and Mental Health Services Administration (SAMHSA) predicts that more than 4.4 million seniors will report prescription drug abuse. Even when not abused and taken as prescribed, many drugs harbor life-threatening side effects, especially in senior patients. Opiates can lower a patient’s resilience, and increase the risk of falls and confusion. Generally speaking, marijuana has not been shown to be addictive in adults. However, in adolescents, heavy use of cannabis (as well as other substances) has been associated with addiction disorder and increased prevalence of psychosis. There are potential side effects associated with marijuana use. The manifestation of side effects is typically dose related and may include dizziness, dry mouth, dry eyes, hunger, paranoia, and increased heart rate. Different marijuana cultivars (or strains) have unique characteristics including side effects. Changing the dose or perhaps the strain is often all that is needed to eliminate any undesirable effects. Nonetheless, caution is advised for patients with unstable cardiac disease and/ or the presence of a history of psychosis. Medical marijuana is incredibly safe. When used correctly and with proper physician guidance, many of the risks of opiate use are greatly reduced, and the risk of fatal overdose is completely negated. In fact, marijuana can reduce the phenomenon of “opioid tolerance” (the need for more drug to get the same effect) and can prevent withdrawal symptoms when reducing opioids. Marijuana research studies have demonstrated an extraordinarily high estimated lethal dose making it unlikely to overdose. This may be why, according to SAMHSA (Substance Abuse and Mental Health Services Administration), there has never been a death recorded from the use of cannabis.
Medical marijuana is incredibly safe. When medical marijuana is used correctly and with proper physician guidance, many of the risks of opiate use are greatly reduced, and the risk of fatal overdose is completely negated. In fact, Marijuana can reduce the phenomenon of “opioid tolerance” (the need for more drug to get the same effect) and can prevent withdrawal symptoms when reducing opioids. Unfortunately chronic nonmalignant pain is not a condition listed by the Florida Department of Health to make one eligible for the use of medical marijuana. Senate Bill 8A, which defines the qualifying conditions for medical marijuana for Floridians, listed chronic nonmalignant pain as one of the twelve conditions. But, what is not appreciated by many, chronic nonmalignant pain is defined elsewhere in the bill as pain that is caused by a qualifying medical condition or that originates from a qualifying medical condition and persists beyond the usual course of that qualifying medical condition. This means that unless the patients chronic nonmalignant pain is caused or is a result of one of the other qualifying conditions, it is not in itself a qualifying condition. The bill does give some latitude to physicians in determining whether a patient’s condition is a medical condition of the same kind or class or comparable to those qualifying conditions enumerated in paragraphs (a)-(j) of the bill. So, if a certifying physician feels that a patient’s chronic nonmalignant pain is a condition that is of same kind or class or comparable to a listed qualifying condition, and is willing to attest to it, then that physician may qualify that patient. Upon use of the ambiguous diagnosis, a medical condition of the same kind or class or comparable to the other qualifying conditions, the physician must submit documentation (clinical, medical, or scientific) that establishes the efficacy of marijuana as treatment for the condition, as well as separate documentation supporting the qualified physician’s opinion that the benefits of the medical use of marijuana would likely outweigh the potential health risks for the patient. Unlike other states like Colorado and California, when you enter a medical marijuana dispensary in Florida you will not be able to asses all of your options for medical marijuana. Florida established the medical marijuana program with a vertically integrated model. That means that each license given by the state of Florida to a Medical Marijuana Treatment Center (MMTC) grants that organization the ability to grow the plants, extract the chemicals from the plants, process and package the drugs, transport the drugs, and dispense or sell the drug in their dispensaries. So, when you enter a dispensary, you are only seeing the products offered by that one MMTC. Most MMTCs are known by the same name as the dispensary. Each MMTC selects their own plant cultivars (strains) which all have unique medicinal characteristics. They also choose what products they will carry. The medical products at each dispensary may have similarities, but may have different packaging, different doses, and different prices. If you are not seeing the results you expect with a product from one dispensary, consider exploring the products of a different dispensary. In addition to varying clinical effects related to plant cultivars, you may need to ask about cutting agents and fillers used to make the medications. For example, many of the products are cut with different kinds of oils of which some patients may be intolerant. Understanding Florida Dispensaries
Products and their Routes of Administration
Capsules: Capsules contain medical cannabis in varying doses. An oil of some sort is used as a carrier for the cannabis medication. Patients requiring stable high dose of cannabis may consider capsules. Capsules cannot be easily cut unless you first freeze the capsule. Pills: Pressed pills are an alternative to capsules for oral ingestion. Pressed pills, when scored, allow the patient to easily break the tablet for more convenient dose adjustments. Waxes: Cannabis can be concentrated into a high dose, concentrated oil or wax. These can be difficult to handle but do offer higher doses at more cost effective rate. Edibles: Edibles were included in the most recent senate bill, SB8A. Most of the dispensaries currently in business plan to include edibles, but the ramp up time has been slow due to legislative mandates for their production. Expect sometime in the near future to have gummies, lozenges, etc available. Note that the bill specifically requires that edibles and their packaging be in no way appealing to children. Oral Route of Delivery: Oral delivery implies that the medical marijuana product will be swallowed and ingested through the hepatic (liver) system. The bio-availability of the drug associated with this method of delivery is lower than others, meaning a higher dose may be required. Onset is significantly slower (1-2 hrs) but the duration of action is also longer (8-12 hrs) Topical Creams: Medical cannabis can be infused into creams and lotions. Your skin absorbs the active ingredients once you apply the topical. These are frequently used for treatment locally; for example, a topical cream may be used topically for a painful joint. Suppositories: Rectal and vaginal suppositories have been developed as well. Rectal suppositories are most widely used in pediatric patients with seizure disorders. This method of delivery is sometimes used in patients with rectal or vaginal cancer as well. Vape Pens (E-Cigarette Type Devices): These utilize vaporization technology that releases the medicinal chemicals without reaching temperatures associated with combustion. Vape pen cartridges are typically comprised of a wax concentrate. Whole Flower Cartridges: This is also a vaporization product. This product is not always available because of difficulty in creating a tamper-proof cartridge. Whole Flower for Smoking: It appears that Florida may soon allow smokable forms of Medical Marijuana. When that happens, whole plant in the form of buds may be purchased and smoked via cigarettes, pipes, bongs, or vaporizers. Sublingual/Transmucosal Route of Delivery: Enters the blood stream directly after passing across the mucosal membranes of the mouth. This route of delivery has the second quickest onset time (10-20 min) and typically lasts 4-6 hours. The bio-availability is good as it is not metabolized through the body’s hepatic (liver) system. This form of delivery is preferred for around the clock dosing. It is also a good method of delivery for titrating the dose up slowly to a therapeutic level. Sublingual Tinctures: These liquid tinctures are extracts made by soaking the plant in alcohol. These products are easily titrated. They are delivered via a dropper which can be difficult for some patients. Buccal Sprays: These liquid tinctures are extracts packaged in a spray bottle which can be more easily administered by some patients. RDT (Rapid Dissolve Tablets): These tablets are designed to be placed under the tongue where they rapidly dissolve. The dissolved drug then transports across the mucosal membrane directly into the blood stream.
Additional Ways to Consume Medical Marijuana
Transdermal Patches: Patches are typically time released methods of delivering cannabis medication through your skin into your systemic bloodstream by way of a patch that you wear. Currently there are patches that deliver medication over 12 hours and a patch that slowly delivers medication over 72 hours. MDI Inhalers: These are metered dose inhalers that allow inhalational delivery of medication without smoking or vaping. This method is effective for rapid onset of effect. Suppositories: There are medical cannabis suppositories that allow rectal or vaginal delivery of medication. This approach can be effective for some colon and pelvic cancers. This method of drug delivery is often preferred for infants with seizure disorders.
Pros and Cons of Different Routes of Drug Administration
• Easy • Preferred by patients • “Slow-release” preparations may be available to extend duration of action • Drugs can be formulated in such a way as to protect them from digestive enzymes, acid, etc. • Good absorption - especially for drugs with a low oral bioavailability • Onset is more rapid than the above routes • Depending on formulation can have very long duration of action, e.g. depot antipsychotics and contraceptives • Good absorption - the harmorrhoidal veins drain directly into the inferior vena cava, avoiding hepatic first pass metabolism • Dependable and reproducible effects • Entire administered dose reaches the systemic circulation immediately - the dose can be accurately titrated against response
• Unsuitable in patients who are uncooperative, strictly “nil by mouth”, are vomiting profusely or have ileus • Most orally administered drugs are absorbed slowly • Unpredictable absorption due to degradation by stomach acid and enzymes
• May not be suitable after rectal or anal surgery • Some patients dislike suppositories
• Absorption may still be unpredictable if peripheries are poorly perfused • Injections hurt, cause bruises and frighten children and needle phobics
Subcutaneous or Intramuscular
• Requires a functioning cannula • More expensive and labor intensive than other routes. • Cannulation is distressing to some patients, especially children • Cannulae are prone to infection • IV injection of drugs may cause local reactions • Most drugs have a high molecular weight and are poorly lipid soluble, so are not absorbed via skin or mucous membranes • Very slow absorption
• Easy • Non-invasive • High levels of patient satisfaction
• Very rapid absorption due to the huge surface area of the respiratory endothelium • Bronchodilators and inhaled steroids can be targeted to lungs with low levels of systemic absorption
• Bioavailability depends on patient’s inhaler technique and the size of drug particles generated by the delivery technique
The Entourage Effect
Cannabis contains hundreds of therapeutic compounds known as cannabinoids, terpenoids, and flavonoids. Although many cannabinoids have been recognized, only about a dozen have been studied to any extent, and only two have been extensively studied (THC and CBD). Most animal studies with CBD or THC utilize a synthetic, single-molecule product produced by biochemical laboratories for research purposes. In contrast, whole plant extractions typically include THC and CBD as well as over 400 trace compounds including terpenes and flavonoids. These compounds act synergistically to create what scientists refer to as an “entourage effect”. The entourage effect magnifies the therapeutic benefits of the plant’s individual components. So, the medicinal impact of the whole plant is greater than the sum of its parts. It is important to consider the entourage effect (or lack thereof ) when extrapolating data based on animal studies: 100 milligrams of synthetic single-molecule CBD is not equivalent to 100 milligrams of a CBD-rich whole plant cannabis extract. Once you understand the entourage effect, you will see why medications containing only THC or CBD aren’t always sufficient for many medical conditions.
How to Access the MMU Registry
You may access the Florida Department of Health Office of Medical Marijuana Use Database to check on your medical marijuana recommendation.
The web site is: www.mmu.flhealth.gov
As a patient or legal representative of a patient, you may log in using your email address.
Within that site you can:
• Determine if you have remaining product available • Review your demographics • Change your email address or phone number • You MAY NOT change your physical address without recertification
• Verify your registry ID# • Determine if your registry ID# has been approved • Verify the dates of your certification • Determine when you need to recertify
Copyright, Access Marijuana RX 2018
Contains > 400 Chemical Ingredients
• Phyto-Cannabinoids • Terpenes • Flavenoids
THC is the chemical in marijuana that causes euphoria or “high”. When used together, CBD will lessen the euphoria or “high” caused by THC. Allowing patients to use them together and remain functional.
Most Studied Cannabinoids
CBD “No High”
Chrohns, Irritable Bowel Syndrome
Euphoria Psychoactive Anti-Inflammatory
No Euphoria Non-Psychoactive Anti-Inflammatory Relieves Nerve Pain
Pain Relieving Improves Sleep Helps with Chrohns, IBS PTSD Improves Appetite
Relieves Spasms Relieves Seizures Helps with Anxiety and PTSD Autoimmune Diseases
Auto Immune Disorder
ENDOCANNABINOID SYSTEM (ECS) A complex system found within the human body that is responsible for regulating homeostasis or balance within most of, if not all systems (including the brain).
Anandamide 2AG Ligands
The chemicals that disengage the lipids from receptors Enzymes
CB1 - Most prevalent receptor in Central Nervous System CB2 - Found in outside the Central Nervous System and within the immune system
Cannabinoids Terpenes Flavonoids
The active ingredients within Medical Marijuana Act within the endocannabinoid system providing medical benefits such as pain relief, anti-inflammation, and anti-anxiety.
CBD / THC Better Together
Entourage Effect The chemicals in medical marijuana work better together. They are synergistic. Whole plant extracts may contain many different active ingredients including cannabinoids, terpenes, and flavonoids.
THC is the chemical in marijuana that causes euphoria or “high”. When used together, CBD will lessen the euphoria or “high” caused by THC. In combination, CBD and THC can be used together while allowing the patient to remain functional.
It is best to start with higher CBD content and gradually increase the THC content as tolerated.
Neuropathic Pain Neuropathy Nerve Injury Shingles
Bone Pain Muscle Pain Joint Pain
Chronic Pain Almost always includes both Somatic and Neuropathic Pain
CBD : THC 1 : 1 Best place to start
These patients should start with 1:1 but may need to progress to a higher THC ratio (ie: 1:5 or 1:10). Opioid Tolerant Patients
Typically a higher CBD ratio is indicated for these patients (ie: 5:1 or 10:1). Neuropathy Patients
This patient population may start with a higher CBD to THC ratio (ie: 10:1 or 5:1) by day and added THC for sleep. Senior Patients
ROUTES OF DELIVERY
TIME TO ONSET DURATION OF EFFECT
5-10 Minutes 15-20 Minutes
1-2 Hours 4-6 Hours
Capsules/Pills Topical (Cream/Balm/Salve) Suppository Oils/drops (Sublingual tincture/ Transmucosal)
1-2 Hours 15-20 Minutes 15-20 Minutes
10-14 Hours 4-6 Hours 4-6 Hours
625 6th Ave., S. Suite 475, St. Petersburg, FL 33701 | 888-736-0266 | AccessMarijuanaRX.com
State MMU Required Docs and Rules
Required ID for Parent AND for Minor Child Patient Minor’s birth certificate Parent’s FL DL Required ID for Caregiver of an Adult Patient One of the following: Written Consent (signed, dated and notarized) Health Care Surrogate Form (signed, dated and notarized) Power of Attorney - 1 st page and signature page (dated and notarized) AND Caregivers FL Driver License, FL ID Card or utility bill
Caregiver Training – You may see this before you can do your application for Caregiver “This is your bi-annual training that is required by the OMMU. Click the icon in the upper-right corner of the slideshow to pick the next slide. When you're done studying, you will be taken to a short quiz.”
Proof of FL Residence Valid FL Driver License (must match the address listed in the registry) OR Valid FL ID
Card Renewal You can apply for your, MM card renewal 45 days (no sooner) before the expiration date on your current card. As of December 2018, the state will NO LONGER accept a utility bill from permanent residents for card renewal. You must use a valid FL DL or a valid FL ID (This does not apply to seasonal residents)
Seasonal Residents: If you temporarily live in FL for at least 31 days (in a row) in each calendar year, have a temporary home in FL, return to your FL home at least one time during each calendar year, and are registered to vote or pay income tax in another state or jurisdiction. You must upload a copy of two of the following items that show proof of your FL address: A deed, mortgage, monthly mortgage statement, mortgage payment booklet or residential rental or lease agreement – 1 st page and signed page Rental agreement and paid invoice from RV Park with dates of space rental, RV park name, address and lot number. Signed by RV owner and RV park manager AND a bill from the RV park for the electric bill for your spot (including address and lot number).
A utility bill, not more than 2 months old.
Mail from a financial institution, including checking, savings, or investment account statements, not more than 2 months old.
Mail from a federal, state, county, or municipal government agency, not more than 2 months old.
Any other item that provides proof of FL (call the state to confirm this proof will work 800-808-9580)
*A minor must provide a certified copy of a birth certificate or a current registration from a Florida K-12 school and must have a parent or legal guardian who meets the requirements listed above.
Concealed Weapons License There are no laws preventing FL from having both a ConcealedWeapons License and a Medical Marijuana card.
Dept. of Transportation Department of Transportation’s longstanding regulation about the use of marijuana by safetyžsensitive transportation employees – pilots, school bus drivers, truck drivers, train engineers, subway operators, aircraft maintenance personnel, transit firežarmed security personnel, ship captains, and pipeline emergency response personnel, among others. The Department of Transportation’s Drug and Alcohol Testing Regulation – 49 CFR Part 40, at 40.151(e) – does not authorize “medical marijuana” under a state law to be a valid medical explanation for a transportation employee’s positive drug test result.
625 6th Ave., S. Suite 475, St. Petersburg, FL 33701 | 888-736-0266 | AccessMarijuanaRX.com
Q: How do I check on my available routes and mg’s? A: Click on the “Your Profile” tab, scroll to “Orders P# xxx”. Find the open order, click “Expand”. Click the MM and Route to see dispensed MM and amount remaining. Q: How do I change my address? A: Click on the “Your Profile tab. Click “Manage Profile Details”. Update the address fields and click “Save Your Changes”. Q: How do I check on my application approval? A: Click on the “Your Card” tab. Scroll down to the bottom of the page to the signature section. Your application status will be on the right hand side.
Q: How do I renew my card? A: Click on the “Your Card” tab. Click “Renew My Card” below profile details.
625 6th Ave., S. Suite 475, St. Petersburg, FL 33701 | 888-736-0266 | AccessMarijuanaRX.com
The Florida Department of Health has approved seven dispensing organizations to cultivate and dispense low-THC cannabis and medical cannabis. The approved dispensing organizations are:
Trulieve • www.Trulieve.com • 1-844-878-5438
Locations: 8435 4th St. N, St. Petersburg, FL 33702 8701 N Dale Mabry Hwy, Tampa, FL 33614
24761 US Hwy 19, Clearwater, FL 33763 800 Capital Circle SE, Tallahassee, FL 32301 3119 N Davis Hwy, Pensacola, FL 32503 13940 US-441 #601, Lady Lake, FL 32159 1103 14th St. W, Bradenton, FL 34205 4544 N Orange Blossom Trl., Orlando, FL 32804 1814 Commerce Ave., Vero Beach, FL 32960 1534 SW 8th St., Boynton Beach, FL 33426 28 Old Kings Rd. N, Ste. B, Palm Coast, FL 32137 1324 N Military Trl., West Palm Beach, FL 33409 458 W Hillsboro Blvd., Deerfield Beach, FL 33441 2303 N Ponce De Leon Blvd., St. Augustine, FL 32084 18350 NW 47th Ave., Miami Gardens, FL 33055 1523 Alton Rd., Miami Beach, FL 33139 1639 Village Square Blvd., Tallahassee, FL 32309 10761 Ulmerton Rd., Largo, FL 33778 - 727-205-4002 3665 S Clyde Morris Blvd., Port Orange, FL 32129 14906 Tamiami Trl., North Port, FL 34287 1743 S Orange Ave. #102, Orlando, FL 32806 28520 Bonita Crossings Blvd., Ste. C, Bonita Springs, FL 34135 4218 US Hwy 19, New Port Richey, FL 34652 1122 S Florida Ave., Lakeland, FL 33803 11575 US Hwy 1 - Units 212-213, North Palm Beach, FL 33408 6647 S. Dixie Hwy, Miami (Dadeland), FL 33143
4020 NW 26th St., Miami, FL 33142 103 Boston Rd., Edgewater, FL 32141 6259 Beach Blvd., Jacksonville, FL 32216 1527 NW 6th St., Gainesville, FL 32601 13971 N Cleveland Ave., #16, North Fort Myers, FL 33903 520 Sterling Rd., Dania Beach, FL 33004 935 N Beneva Rd., Sarasota, FL 34232 9600 SW 77th Ave., Miami, Fl 33156 5623 US 19 #111, New Port Richey, FL 34625 1290 Jacaranda Blvd., Venice, FL 34292 3350 W New Haven Ave., Melbourne, FL 32904 Locations: 2001 4th St. N, St. Petersburg, FL 33704 2558 E Fowler Ave., Tampa, FL 33612 5046 Bayou Blvd., Pensacola, FL 32503 80 Blanding Blvd., Ste. 3, Orange Park, FL 32073 537 Park St., Jacksonville, FL 32204 1200 Deltona Blvd., Ste. 2, Deltona, FL 32725 6295 Minton Rd. NE, Unit 1-2, Palm Bay FL 32907 4306 S Dale Mabry Hwy, Tampa, FL 33661 1256 E Brandon Blvd., Brandon, FL 33511 7061 US Hwy 1, Port St. Lucie, FL 34952 11115 SW 93rd Court Rd., Ocala, FL 34481 3126 Flagler Ave., Key West, FL 33040 Locations: 601 34th St. N, St. Petersburg, FL 33713 3400B SW 34th St., Gainesville, FL 32608 9901 San Jose Blvd. #3, Jacksonville, FL 32257 109 Racetrack Rd. NE, Fort Walton Beach, FL 32547 175 NW 167th St., Miami, FL 33169
Surterra Wellness • www.surterra.com • 1-850-391-5455
Knox Medical • www.knoxmedical.com • 1-888-441-5669
1901 N Orange Ave., Orlando, FL 32804 1902-2 Thomasville Rd., Tallahassee, FL 32303 1 S Dixie Hwy, Ste. A, Lake Worth, FL, 33460 921 S Missouri Ave., Clearwater, FL 33756
Aphria • www.aphria.com • 1-833-254-4877
Locations: 501 Martin Luther King Jr. Blvd. N, St. Petersburg, FL 33701 16810 Hwy 441, Ste. 501, Summerfield, FL 34491 4306 S Dale Mabry Hwy, Tampa, FL 33611 11609 S Cleveland Ave., Ft. Myers, FL 33907 150 E Merritt Island Causeway, Merritt Island, FL 32953 31487 US Hwy 19 N, Palm Harbor, FL 34684 10795 Biscayne Blvd., Miami, FL 33161 Locations: St. Petersburg: 3811 Tyrone Blvd., St. Petersburg, FL 33709 Miami - Dadeland Area: 9002 Dadeland Blvd., Miami, FL 33156 (Free Valet Parking Available in Metropolis Building) LakeWorth: 1125 N Dixie Hwy, Ste. C, Lake Worth, FL 33460 Ft. Myers: 4480 Fowler St., Ft. Myers, FL 33901 Palm Harbor: 35388 US Hwy 19 N, Palm Harbor, FL 34684 Palm Bay: 1420 Palm Bay Rd. NE, Palm Bay, FL 32905 Lakeland: 3145 US Hwy 98 N, Lakeland, FL 33805 Orlando: 12402 S Orange Blossom Trl., Ste. 7, Orlando, FL 32837 Gainesville: 2300 SW 34th St., Gainesvill, FL 32608 Miami: 19000 SW 192 St., Miami, FL 33187 N Miami: 16685 NW 2nd Ave., Miami, FL 33169 Daytona Beach : 910 W Inter. Speedway Blvd., Daytona Beach, FL 32114
2605 W Swann Ave., Tampa, FL 33609 10941 US Hwy 1, Port St. Lucie, FL 34952 4500 N Federal Hwy, Ft. Lauderdale, FL 1285 1st St. S, Winter Haven, FL 33880 6827 Bird Rd., Miami, FL 33155 12 SW 2nd St., Gainesville, FL 32601 1907-3 Wells Rd., Orange Park, FL 32073
Curaleaf • www.curaleaf.com • 1-877-303-0741
Tampa: 6421 N Florida Ave., Ste. A, Tampa, FL 33604 Lutz: 1408 Dale Mabry Hwy #107, Lutz, FL 33548 Bonita Springs: 11721 Bonita Beach Rd. SE, Bonita Springs, FL 34135 Titusville: 200 S Washington Ave., Titusville, FL 32796 E Orlando: 775 Semoran Blvd., Orlando, FL 32807 Ocala: 1839 SW College Rd., Ocala, FL 34471 Tallahassee: 1345 Thomasville Rd., Tallahassee, FL 32303 Miami Airport: 5400 NW 72nd Ave., Miami, FL 33166 Jacksonville: 6361 103rd St., Jacksonville, FL, 32210 Ft. Pierce: 3218 S US Hwy 1, Ft. Pierce, FL 34982 Deerfield Beach: 148 N Federal Hwy, Deerfield Beach, FL 33441 VidaCann • www.vidacann.com • 800-977-1686 Locations: 5203 Cortez Rd. W, Bradenton, FL 34210 1027 N Nova Rd., Holly Hill, FL 32117 1101 S Powerline Rd., Ste. 104, Deerfield Beach, FL 33442 2007 W Kennedy Blvd., Tampa, FL 33606 1663 Georgia St. NE, Ste. 900, Palm Bay, FL 32907 Modern Health Concepts modernhealthconcepts.com • 1-877-303-0741 Locations: 190000 SW 192nd St, Miami, FL 33187
MÜV by Altmed • altmedflorida.com Locations: 5909 US Hwy 41 N, Apollo Beach, FL 33572 5045 Fruitville Rd., Sarasota, FL 34232 7229 N Dale Mabry Hwy, Tampa, FL 33614 1045 South State Rd. 7, Ste. 200, Wellington, FL 33414 Rise • risedispensaries.com Locations: 2305 W Hillsboro Blvd., Deerfield Beach, FL 33442 Phone: (786) 540-4910 *COMING SOON TO: 6999 US 19, Pinellas Park, FL 33781
1212-2 N Monroe St., Tallahassee, FL 32303 2007 W Kennedy Blvd., Tampa, FL 33606 1663 Georgia St. NE, Ste. 900, Palm Bay, FL 32907 1700 N Semoran Blvd., Ste. 160, Orlando, FL 32807 10688 Gandy Blvd. North, St. Petersburg, FL 33702
Growth Healthy www.growhealthy.com • 1-800619-5288
The Green Solution www.thegreensolution.studio Columbia Care FL c ol-carefl.com • 800-714-9215Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19
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