Evidence status: PUBLIC 2025 PRACTICE AGREEMENT. Florida Spine & Pain Center publicly hosts a two-page 2025 Pain Management/Narcotic Agreement.

Quick read

The agreement addresses early refills, lost/stolen medication, outside prescriptions, office-hour refill procedures, marijuana/other substances, smoking and weight loss, physical therapy, short-notice testing, pill counts, and removal from care.

Who is on the provider side

Current practice materials identify providers including Lowell Davis, DO; Paul Roa, MD; Neil Kirschbaum, DO; Robin Mata, DO, MPH; Michelle Cotayo Linares, MSN, ARNP, FNP-BC; Gabriel Osorio, PA-C; Araly A. Kelly, FNP; and Jessica Mourino, MSN, APRN, NP-C. The agreement is a practice form rather than one universal clinician’s personal contract.

Terms that matter most

  • Early refills after overuse may be denied; lost or stolen medication is not replaced.
  • Outside pain or sedative medication must be reported within 72 hours.
  • Refills are handled during regular office hours with advance notice.
  • The form restricts marijuana and other substances.
  • The patient may be required to stop smoking, pursue weight loss, and participate in prescribed physical therapy.
  • Blood, urine, or saliva testing may be required on short notice; noncompliance can affect whether a prescription is sent.
  • Pill counts and medication-container checks may be required.
  • Breach or false information can lead to controlled medication stopping and immediate removal from care under the form.

Florida law versus clinic policy

Florida requires refill, compliance/discontinuation, and single-prescriber subjects in the agreement. The practice’s categorical nonreplacement, 72-hour notice, lifestyle/physical-therapy conditions, testing implementation, and immediate-removal terms are clinic policy unless another authority applies.

Medical-marijuana wording

The 2025 agreement includes marijuana within prohibited substance language. Florida separately authorizes qualifying medical-marijuana use under §381.986. The form’s restriction can be documented as a treatment condition without describing all authorized medical use as unlawful.

Primary sources

← Florida Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: The agreement is publicly practice-hosted. This record separates its clinic-specific terms from Florida’s statutory minimum and does not decide enforceability.