Board of Medicine and Board of Osteopathic Medicine Data Tables Physician Certification Pattern Review 2021 Annual Report Under section 381.986(4)(j), Florida Statutes, “The Board of Medicine and the Board of Osteopathic Medicine shall jointly create a physician certification pattern review panel that shall review all physician certifications submitted to the medical marijuana use registry. The panel shall track and report the number of physician certifications and the qualifying medical conditions, dosage, supply amount, and form of marijuana certified. The panel shall report the data both by individual qualified physician and in the aggregate, by county, and statewide.” The Physician Certification Pattern Review Panel (Panel) is responsible for reporting its findings and recommendations by January 1 of each year to the Governor, the President of the Senate, and the Speaker of the House of Representatives. Physician Certification Pattern Review Panel Chair and Vice Chair Sandra Schwemmer, D.O., Chair Andre Perez, Consumer Member, Vice Chair Members Shailesh Gupta, M.D. Jorge J. Lopez, M.D. Michelle Mendez, D.O. Luz Pages, M.D. Joel B. Rose, D.O. Data Notes 1. New physician certification information is accessed every two weeks during the report period from the Medical Marijuana Use Registry (MMUR). 2. Physician licensure information (addresses physicians provide in the Practitioner Profile) comes from the Division of Medical Quality Assurance (MQA) licensure database and was accessed on October 1, 2020. 3. Datasets are accessed from live databases, reflecting the information at that moment, and therefore are subject to change. For example, physicians may change their primary practice locations at any time, which may change the county of their address. 4. Routes of administration (Edibles, Inhalation, Oral, Smoking, Sublingual, Suppository, or Topical) are measured in milligrams (mg) or ounces (oz). 5. Where reporting data may pose an identification risk, numbers are suppressed by using an “*”. 1 CONTENTS Table 1. State and County Physician Certifications by Patient's Qualifying Condition from October 1, 2019 through September 30, 2020. 4 Table 2. Individual Physician Certifications by Patient's Qualifying Condition from October 1, 2019 through September 30, 2020. 7 Table 3. State and County Physician Certifications Overall, and Number of Orders and Total Supply for all Low‐THC Cannabis, and all Medical Marijuana, Ordered from October 1, 2019 through September 30, 2020. 54 Table 4. Individual Physician Certifications Overall, and Number of Orders and Total Supply for all Low‐THC Cannabis, and all Medical Marijuana, Ordered from October 1, 2019 through September 30, 2020. 56 Table 5. State and County Physician Certifications with Marijuana in a Form for Smoking, Number of Orders, Average Ounces, and Total Supply for all Marijuana in a Form for Smoking Ordered from October 1, 2019 through September 30, 2020. 94 Table 6. Individual Physician Certifications with Marijuana in a Form for Smoking, Number of Orders, Average Ounces, and Total Supply for all Marijuana in a Form for Smoking Ordered from October 1, 2019 through September 30, 2020. 96 Table 7. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Edibles Route from October 1, 2019 through September 30, 2020. 134 Table 8. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Edibles Route from October 1, 2019 through September 30, 2020. 136 Table 9. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Inhalation Route from October 1, 2019 through September 30, 2020. 172 Table 10. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Inhalation Route from October 1, 2019 through September 30, 2020. 174 Table 11. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Oral Route from October 1, 2019 through September 30, 2020. 216 Table 12. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Oral Route from October 1, 2019 through September 30, 2020. 218 Table 13. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Sublingual Route from October 1, 2019 through September 30, 2020. 255 Table 13. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Suppository Route from October 1, 2019 through September 30, 2020. 256 2 Table 14. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Sublingual Route from October 1, 2019 through September 30, 2020. 257 Table 15. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Suppository Route from October 1, 2019 through September 30, 2020. 293 Table 16. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Suppository Route from October 1, 2019 through September 30, 2020. 295 Table 17. State and County Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Topical Route from October 1, 2019 through September 30, 2020. 331 Table 18. Individual Physician Average Daily Dose for Orders of Low‐THC Cannabis and Medical Marijuana by Topical Route from October 1, 2019 through September 30, 2020. 333 Table 19. Statewide and County Certifications, and Total Supply Ordered for Low‐THC Cannabis and Medical Marijuana by Edibles, Inhalation, and Oral Routes from October 1, 2019 through September 30, 2020. 369 Table 20. Statewide and County Certifications Overall, and Total Supply Ordered in all Certifications for Low‐THC Cannabis and Medical Marijuana by Sublingual, Suppository, and Topical Routes from October 1, 2019 through September 30, 2020. 372 Table 21. Individual Physician Certifications Overall, and Total Supply Ordered in all Certifications for Low‐THC Cannabis and Medical Marijuana by Edibles, Inhalation, and Oral Routes from October 1, 2019 through September 30, 2020. 375 Table 22. Individual Physician Certifications Overall, and Total Supply Ordered in all Certifications for Low‐THC Cannabis and Medical Marijuana by Sublingual, Suppository, and Topical Routes from October 1, 2019 through September 30, 2020. 425 Data Table Terms and Definitions 475 3 Table 1. State and County Physician Certifications by Patient's Qualifying Condition from October 1, 2019 through September 30, 2020. (d) (k) (m) Positive (h) (i) Medical (l) Chronic (a) (b) (c) Status (e) (f) (g) Crohn’s Parkinson’s (j) Conditions Terminal Nonmalignant Physician County Cancer Epilepsy Glaucoma for HIV AIDS PTSD ALS disease Disease MS of the Same Condition Pain STATEWIDE 51,420 15,625 10,834 7,490 1,661 406,542 9,564 23,006 8,192 134,245 273,979 2,717 175,904 Alachua 686 335 164 98 9 3,700 39 482 252 2,542 5,109 23 2,272 Baker1 Bay 624 465 128 146 24 3,829 278 443 81 3,640 6,815 8 1,313 Bradford * 6 * * 28 * 15 13 * 22 Brevard 1,462 733 327 212 44 10,163 84 762 202 4,612 8,456 78 5,480 Broward 3,125 892 811 1,081 138 37,019 282 1,226 511 4,023 9,911 169 13,430 Calhoun1 Charlotte 684 80 116 66 26 4,145 17 171 86 2,220 3,850 54 1,955 Citrus 752 156 136 33 * 3,686 15 236 92 1,686 2,064 11 1,444 Clay 411 139 75 44 15 2,304 56 138 58 1,338 2,566 11 1,410 Collier 886 188 180 107 17 8,381 80 415 224 1,681 1,954 28 4,034 Columbia 44 19 15 9 549 * 15 * 8 22 * 248 DeSoto1 Dixie ** Duval 2,972 611 428 312 51 16,822 69 792 186 8,737 15,006 124 10,318 Escambia 1,171 560 217 170 53 7,163 94 441 147 4,945 9,775 38 1,229 Flagler 182 77 35 14 978 20 92 35 719 1,539 9 189 Franklin1 Gadsden1 Gilchrist1 Glades1 Gulf1 Hamilton1 Hardee1 Hendry1 Hernando 582 224 122 70 20 5,021 152 252 72 1,228 2,700 6 1,361 Highlands 106 29 39 17 * 1,080 * 51 16 481 498 189 1,169 Hillsborough 3,441 915 659 638 210 25,807 1,017 1,622 629 8,305 22,887 166 9,214 Holmes 14 17 11 * * 186 * 28 7 172 434 Indian River 559 118 263 70 9 2,211 * 175 100 1,127 1,949 9 1,989 Jackson 34 * ** Jefferson1 Lafayette 82 31 11 10 * 623 14 36 36 418 901 22 202 1 No physicians with primary practice locations in this county. 4 Table 1. State and County Physician Certifications by Patient's Qualifying Condition from October 1, 2019 through September 30, 2020. (d) (k) (m) Positive (h) (i) Medical (l) Chronic (a) (b) (c) Status (e) (f) (g) Crohn’s Parkinson’s (j) Conditions Terminal Nonmalignant Physician County Cancer Epilepsy Glaucoma for HIV AIDS PTSD ALS disease Disease MS of the Same Condition Pain STATEWIDE 51,420 15,625 10,834 7,490 1,661 406,542 9,564 23,006 8,192 134,245 273,979 2,717 175,904 Lake 497 117 159 32 * 4,928 207 172 87 524 634 54 2,642 Lee 3,042 602 710 299 100 33,588 230 1,116 358 7,967 19,465 72 12,192 Leon 852 419 204 50 5 4,844 144 307 71 3,387 7,249 14 299 Levy1 Liberty1 Madison1 Manatee 613 228 144 37 9 3,028 310 265 94 1,555 3,029 9 996 Marion 436 120 91 44 15 4,708 14 102 25 255 397 95 2,344 Martin 312 102 65 76 26 5,346 13 101 92 819 1,098 13 1,989 Miami‐Dade 1,953 586 451 520 96 22,687 111 754 646 4,491 9,377 115 11,075 Monroe 237 48 39 103 5 2,350 * 68 21 427 1,055 7 456 Nassau 120 13 42 5 6 731 * 39 12 415 665 10 549 Okaloosa 602 208 85 35 17 4,847 334 246 122 1,853 5,336 29 462 Okeechobee 34 * * 71 * * * * Orange 2,977 946 504 349 58 16,861 186 1,204 448 7,071 15,663 198 7,137 Osceola 186 137 24 45 8 5,819 11 42 28 856 1,366 6 5,614 Palm Beach 5,140 1,117 1,223 783 216 54,002 567 1,819 843 7,292 17,094 138 33,259 Pasco 2,274 670 452 209 37 13,356 354 2,466 308 4,720 12,950 48 4,822 Pinellas 4,374 2,002 994 862 137 34,082 3,130 3,173 879 17,776 36,391 661 7,053 Polk 354 163 80 37 9 2,364 * 162 64 1,686 2,493 20 1,681 Putnam 41 17 24 15 869 31 9 205 578 * 111 Santa Rosa 204 178 65 28 * 1,681 7 359 30 1,139 2,469 13 207 Sarasota 3,465 755 594 258 74 20,218 67 1,126 591 4,624 10,393 29 7,201 Seminole 1,046 294 132 81 8 6,060 365 357 65 3,402 7,287 33 3,249 St.