License Verification

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Palm Harbor Special Fire Control & Rescue District

License Number: ALS5213

Data As Of 11/24/2024

Profession
EMS Service Provider (ALS)
License
ALS5213
License Status
CLEAR/
Qualifications
Non - Transport
License Expiration Date
7/13/2025
License Original Issue Date
01/14/1993
Address of Record
250 West Lake Road
PALM HARBOR, FL 34684
Discipline on File
No
Address
250 West Lake Road
PALM HARBOR, FL 34684
Address
1123 Illinois Avenue
PALM HARBOR, FL 34683
Address
2300 Glen Eagles Parkway
PALM HARBOR, FL 34683
Address
3007 Alternate U.S. 19 North
PALM HARBOR, FL 34683
Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
1FDUF5GT5LDA03790 Permit Vehicle Permit (ALS) 23141 8/25/2020
4ENLAAA80N1004670 Permit Vehicle Permit (ALS) 24872 1/11/2023
4ENLAAA86K1002210 Permit Vehicle Permit (ALS) 22366 7/25/2019
4P1BAAGF5PA026093 Permit Vehicle Permit (ALS) 25855 3/7/2024
4P1BAAGF7PA026094 Permit Vehicle Permit (ALS) 25856 3/7/2024
4P1BBAGF7PA026058 Permit Vehicle Permit (ALS) 25854 3/7/2024

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/24/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.