The risk of violation in Florida is not merely theoretical. It is real. For instance, in June 2004, a Final Order was enter into the case of Department of Health v. Serge Lefevre Alexandre. Dr. Alexandre was fined $10,000, required to pay $18,000 in Department of Health costs, required to perform 50 h of community service, and obtain an additional 10 h of continuing medical education arising out his violation of the law. The pertinent facts in that case are as follows: (1) a patient in Texas logged onto an Internet pharmacy and selected doxycycline, a legend drug; (2) the Web site contained a “Consent Medical Care” questionnaire, which the patient completed; and (3) based on the patient’s completion of the form, the doctor prescribed the doxycycline, and the prescription was filled at a Florida pharmacy.