License Verification

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County of Volusia

License Number: ALS6407

Data As Of 11/22/2024

Profession
EMS Service Provider (ALS)
License
ALS6407
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
8/8/2025
License Original Issue Date
08/09/1993
Address of Record
112 Carswell Avenue
HOLLY HILL, FL 32117
Discipline on File
No
Address
920 Glenwood Road
DELAND, FL 32720
Address
2580 West Highway 44
DELAND, FL 32720
Address
1970 South Volusia Avenue
ORANGE CITY, FL 32763
Address
112 Carswell Avenue
HOLLY HILL, FL 32117
Address
3889 Tiger Bay Road
DAYTONA BEACH, FL 32124
Address
1716 Atlantic Avenue
ORMOND BEACH, FL 32176
Address
15 Southland Road
ORMOND BEACH, FL 32174
Address
951 Singleton Drive
DELAND, FL 32724
Address
132 North Fountain Drive
PIERSON, FL 32180
Address
1885 Kepler Road
DELAND, FL 32724
Address
1850 Pioneer Trail
NEW SMYRNA BEACH, FL 32168
Address
213 North U.S. Highway 1
OAK HILL, FL 32759
Address
1655 East Taylor Road
DELAND, FL 32724
Address
257 W International Speedway Blvd.
DELAND, FL 32720
Address
1700 Entreprise/Osteen Road
ENTERPRISE, FL 32725
Address
2850 Firehouse Road
DELAND, FL 32720
Address
3935 Old Dixie Highway
ORMOND BEACH, FL 32174
Address
1979 Taylor Road
PORT ORANGE, FL 32128
Address
1580 Derbyshire Road
HOLLY HILL, FL 32117
Address
500 Rodeo Road
ORMOND BEACH, FL 32174
Address
5007 Central Avenue
DE LEON SPRINGS, FL 32130
Address
180 North State Road 415
OSTEEN, FL 32764
Address
630 West Main Street
LAKE HELEN, FL 32744
Address
2316 Bellevue Avenue
DAYTONA BEACH, FL 32114
Address
4840 South Atlantic Avenue
NEW SMYRNA BEACH, FL 32169
Name Relationship Profession License Effective Date

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

Name Relationship Profession License Effective Date
1FD0X4GT0GEC88209 Permit Vehicle Permit (ALS) 26227 8/19/2024
1FD0X4GT0LED72329 Permit Vehicle Permit (ALS) 26237 8/19/2024
1FD0X4GT0LED72329 Permit Vehicle Permits (BLS) 6465 9/22/2021
1FD0X4GT0MED59646 Permit Vehicle Permits (BLS) 6523 9/27/2021
1FD0X4GT0MED59646 Permit Vehicle Permit (ALS) 23978 9/27/2021
1FD0X4GT0NEF13824 Permit Vehicle Permit (ALS) 26360 9/11/2024
1FD0X4GT0NEF13824 Permit Vehicle Permits (BLS) 7516 9/11/2024
1FD0X4GT0NEF34883 Permit Vehicle Permits (BLS) 7051 8/24/2023
1FD0X4GT0NEF34883 Permit Vehicle Permit (ALS) 25293 8/24/2023
1FD0X4GT1HEC98619 Permit Vehicle Permits (BLS) 6490 9/23/2021
1FD0X4GT1HEC98619 Permit Vehicle Permit (ALS) 21065 11/1/2017
1FD0X4GT1HEC98622 Permit Vehicle Permits (BLS) 6488 9/23/2021
1FD0X4GT1HEC98622 Permit Vehicle Permit (ALS) 21063 11/1/2017
1FD0X4GT1JEC69997 Permit Vehicle Permit (ALS) 26221 8/19/2024
1FD0X4GT1JEC69997 Permit Vehicle Permits (BLS) 6776 9/6/2022
1FD0X4GT1JEC82006 Permit Vehicle Permit (ALS) 26232 8/19/2024
1FD0X4GT1JEC82006 Permit Vehicle Permits (BLS) 6499 9/23/2021
1FD0X4GT1KEE60062 Permit Vehicle Permit (ALS) 26235 8/19/2024
1FD0X4GT1KEE60062 Permit Vehicle Permits (BLS) 6502 9/23/2021
1FD0X4GT1LED72324 Permit Vehicle Permit (ALS) 26241 8/19/2024
1FD0X4GT1LED72324 Permit Vehicle Permits (BLS) 6511 9/23/2021
1FD0X4GT1MED98231 Permit Vehicle Permits (BLS) 6521 9/23/2021
1FD0X4GT1MED98231 Permit Vehicle Permit (ALS) 23973 9/22/2021
1FD0X4GT2JEC27421 Permit Vehicle Permit (ALS) 26132 7/15/2024
1FD0X4GT2JEC27421 Permit Vehicle Permits (BLS) 7432 7/15/2024
1FD0X4GT2MED59647 Permit Vehicle Permits (BLS) 6524 9/27/2021
1FD0X4GT2MED59647 Permit Vehicle Permit (ALS) 23979 9/27/2021
1FD0X4GT2MED59650 Permit Vehicle Permits (BLS) 6525 9/27/2021
1FD0X4GT2MED59650 Permit Vehicle Permit (ALS) 23980 9/27/2021
1FD0X4GT2NEF13825 Permit Vehicle Permit (ALS) 26429 10/15/2024
1FD0X4GT2NEF13825 Permit Vehicle Permits (BLS) 7550 10/15/2024
1FD0X4GT2NEF34884 Permit Vehicle Permits (BLS) 7052 8/24/2023
1FD0X4GT2NEF34884 Permit Vehicle Permit (ALS) 25294 8/24/2023
1FD0X4GT3JEC82007 Permit Vehicle Permit (ALS) 26231 8/19/2024
1FD0X4GT3JEC82007 Permit Vehicle Permits (BLS) 6500 9/23/2021
1FD0X4GT3KEE60063 Permit Vehicle Permits (BLS) 7031 8/9/2023
1FD0X4GT3KEE60063 Permit Vehicle Permit (ALS) 25262 8/9/2023
1FD0X4GT3LED72325 Permit Vehicle Permit (ALS) 26240 8/19/2024
1FD0X4GT3LED72325 Permit Vehicle Permits (BLS) 6512 9/23/2021
1FD0X4GT3LEE11298 Permit Vehicle Permits (BLS) 6606 1/26/2022
1FD0X4GT3LEE11298 Permit Vehicle Permit (ALS) 24136 12/28/2021
1FD0X4GT3MED98232 Permit Vehicle Permits (BLS) 6522 9/23/2021
1FD0X4GT3MED98232 Permit Vehicle Permit (ALS) 23974 9/22/2021
1FD0X4GT4JEC27422 Permit Vehicle Permit (ALS) 26224 8/19/2024
1FD0X4GT4JEC27422 Permit Vehicle Permits (BLS) 6495 9/23/2021
1FD0X4GT4MED59648 Permit Vehicle Permits (BLS) 6518 9/23/2021
1FD0X4GT4MED59648 Permit Vehicle Permit (ALS) 23970 9/22/2021
1FD0X4GT4MED59651 Permit Vehicle Permits (BLS) 6520 9/23/2021
1FD0X4GT4MED59651 Permit Vehicle Permit (ALS) 23972 9/22/2021
1FD0X4GT4NEF13826 Permit Vehicle Permits (BLS) 7049 8/24/2023
1FD0X4GT4NEF13826 Permit Vehicle Permit (ALS) 25291 8/24/2023
1FD0X4GT4NEF34885 Permit Vehicle Permits (BLS) 7053 8/24/2023
1FD0X4GT4NEF34885 Permit Vehicle Permit (ALS) 25295 8/24/2023
1FD0X4GT5GEC88206 Permit Vehicle Permit (ALS) 26229 8/19/2024
1FD0X4GT5KEE60064 Permit Vehicle Permit (ALS) 26234 8/19/2024
1FD0X4GT5KEE60064 Permit Vehicle Permits (BLS) 6504 9/23/2021
1FD0X4GT5LED72326 Permit Vehicle Permits (BLS) 6945 4/20/2023
1FD0X4GT5LED72326 Permit Vehicle Permit (ALS) 25038 4/19/2023
1FD0X4GT5MED59643 Permit Vehicle Permits (BLS) 6515 9/23/2021
1FD0X4GT5MED59643 Permit Vehicle Permit (ALS) 23967 9/22/2021
1FD0X4GT5MED98233 Permit Vehicle Permits (BLS) 6526 9/27/2021
1FD0X4GT5MED98233 Permit Vehicle Permit (ALS) 23981 9/27/2021
1FD0X4GT6JEC95110 Permit Vehicle Permit (ALS) 26225 8/19/2024
1FD0X4GT6JEC95110 Permit Vehicle Permits (BLS) 6492 9/23/2021
1FD0X4GT6MED59649 Permit Vehicle Permits (BLS) 6519 9/23/2021
1FD0X4GT6MED59649 Permit Vehicle Permit (ALS) 23971 9/22/2021
1FD0X4GT6NEF13827 Permit Vehicle Permits (BLS) 7050 8/24/2023
1FD0X4GT6NEF13827 Permit Vehicle Permit (ALS) 25292 8/24/2023
1FD0X4GT6NEF34886 Permit Vehicle Permit (ALS) 25296 8/24/2023
1FD0X4GT6NEF34886 Permit Vehicle Permits (BLS) 7054 8/24/2023
1FD0X4GT7GEC88207 Permit Vehicle Permit (ALS) 26228 8/19/2024
1FD0X4GT7GEC88210 Permit Vehicle Permit (ALS) 26226 8/19/2024
1FD0X4GT7KEE60065 Permit Vehicle Permits (BLS) 6505 9/23/2021
1FD0X4GT7KEE60065 Permit Vehicle Permit (ALS) 22608 11/7/2019
1FD0X4GT7LED72327 Permit Vehicle Permit (ALS) 26239 8/19/2024
1FD0X4GT7LED72327 Permit Vehicle Permits (BLS) 6513 9/23/2021
1FD0X4GT7LED72330 Permit Vehicle Permit (ALS) 26236 8/19/2024
1FD0X4GT7LED72330 Permit Vehicle Permits (BLS) 6466 9/22/2021
1FD0X4GT7MED59644 Permit Vehicle Permits (BLS) 6516 9/23/2021
1FD0X4GT7MED59644 Permit Vehicle Permit (ALS) 23968 9/22/2021
1FD0X4GT8HEC98620 Permit Vehicle Permits (BLS) 6777 9/6/2022
1FD0X4GT8HEC98620 Permit Vehicle Permit (ALS) 21061 11/1/2017
1FD0X4GT8JEC69995 Permit Vehicle Permits (BLS) 6496 9/23/2021
1FD0X4GT8JEC69995 Permit Vehicle Permit (ALS) 21983 1/8/2019
1FD0X4GT8NEF13828 Permit Vehicle Permit (ALS) 26242 8/19/2024
1FD0X4GT8NEF13828 Permit Vehicle Permits (BLS) 7463 8/19/2024
1FD0X4GT9GEC88208 Permit Vehicle Permits (BLS) 6485 9/23/2021
1FD0X4GT9GEC88208 Permit Vehicle Permit (ALS) 20459 2/22/2017
1FD0X4GT9KEE60066 Permit Vehicle Permits (BLS) 6506 9/23/2021
1FD0X4GT9KEE60066 Permit Vehicle Permit (ALS) 22609 11/7/2019
1FD0X4GT9LED72328 Permit Vehicle Permit (ALS) 26238 8/19/2024
1FD0X4GT9LED72328 Permit Vehicle Permits (BLS) 6464 9/22/2021
1FD0X4GT9MED59645 Permit Vehicle Permits (BLS) 6517 9/23/2021
1FD0X4GT9MED59645 Permit Vehicle Permit (ALS) 23969 9/22/2021
1FD0X4GT9NEF13823 Permit Vehicle Permit (ALS) 25618 11/15/2023
1FD0X4GT9NEF13823 Permit Vehicle Permits (BLS) 7211 11/15/2023
1FD0X4GTXGEC75970 Permit Vehicle Permit (ALS) 26230 8/19/2024
1FD0X4GTXHEC98618 Permit Vehicle Permits (BLS) 6489 9/23/2021
1FD0X4GTXHEC98618 Permit Vehicle Permit (ALS) 21064 11/1/2017
1FD0X4GTXHEC98621 Permit Vehicle Permits (BLS) 6480 9/23/2021
1FD0X4GTXHEC98621 Permit Vehicle Permit (ALS) 25274 8/17/2023
1FD0X4GTXJEC69996 Permit Vehicle Permit (ALS) 26222 8/19/2024
1FD0X4GTXJEC69996 Permit Vehicle Permits (BLS) 6494 9/23/2021
1FD0X4GTXJEC82005 Permit Vehicle Permit (ALS) 26233 8/19/2024
1FD0X4GTXJEC82005 Permit Vehicle Permits (BLS) 6498 9/23/2021
1FD0X4GTXKEE60061 Permit Vehicle Permits (BLS) 7462 8/19/2024
1FD0X4GTXKEE60061 Permit Vehicle Permit (ALS) 22604 11/7/2019
1FD0X4HT49EC28459 Permit Vehicle Permit (ALS) 24398 6/22/2022
1FDUF4GT4GEB46378 Permit Vehicle Permit (ALS) 19912 5/3/2016
1FDUF4HT7FEB83362 Permit Vehicle Permit (ALS) 19818 3/23/2016
1FDUF4HT9LED73000 Permit Vehicle Permit (ALS) 23492 2/8/2021
1FDUF5GTXNDA00614 Permit Vehicle Permit (ALS) 24501 9/6/2022
1FDUF5GTXPDA05377 Permit Vehicle Permit (ALS) 25637 12/4/2023
1FDUF5HT4NEE70940 Permit Vehicle Permits (BLS) 6971 5/17/2023
1FDUF5HT4NEE70940 Permit Vehicle Permit (ALS) 25078 5/17/2023
1FDUF5HT4PEC94698 Permit Vehicle Permit (ALS) 25754 1/22/2024
1FDUF5HT4PEC94698 Permit Vehicle Permits (BLS) 7272 1/22/2024
1FDUF5HT5MDA05491 Permit Vehicle Permit (ALS) 24461 8/8/2022
1FDUF5HT6NED19033 Permit Vehicle Permits (BLS) 6942 4/10/2023
1FDUF5HT6NED19033 Permit Vehicle Permit (ALS) 25008 4/10/2023
1FDWE31S4KDC35126 Permit Vehicle Permits (BLS) 6507 9/23/2021
1FDWE31S4KDC35126 Permit Vehicle Permit (ALS) 23965 9/22/2021
1FDWE3FS0KDC36077 Permit Vehicle Permit (ALS) 24001 10/6/2021
1FDWE3FS6KDC33541 Permit Vehicle Permits (BLS) 6509 9/23/2021
1FDWE3FS6KDC33541 Permit Vehicle Permit (ALS) 23966 9/22/2021
1FDWE3FS8KDC33542 Permit Vehicle Permit (ALS) 26220 8/19/2024
1FDWE3FS8KDC33542 Permit Vehicle Permits (BLS) 6510 9/23/2021
1FDWEFS0KDC36077 Permit Vehicle Permits (BLS) 6508 9/23/2021
1FDYR2CG5GKA26875 Permit Vehicle Permits (BLS) 5608 9/19/2018
1FDYR2CG5GKA26875 Permit Vehicle Permit (ALS) 23962 9/22/2021
1FDYR2CG9GKA21341 Permit Vehicle Permits (BLS) 6532 10/4/2021
1FDYR2CG9GKA21341 Permit Vehicle Permit (ALS) 24500 9/6/2022
1FVACWDJ69HAG7589 Permit Vehicle Permit (ALS) 19621 1/12/2016
1HTKSSWK8NH646860 Permit Vehicle Permit (ALS) 25119 6/6/2023
1HTMNAALX9H053498 Permit Vehicle Permit (ALS) 16870 10/1/2011
1HTMNAALXAH245377 Permit Vehicle Permit (ALS) 16897 9/26/2011
1HTMNAAM15H688953 Permit Vehicle Permits (BLS) 6943 4/10/2023
1HTMNAAM15H688953 Permit Vehicle Permit (ALS) 23073 7/8/2020
1HTMNAAM67H460949 Permit Vehicle Permit (ALS) 16869 10/1/2011
1HTMNMML4GH375578 Permit Vehicle Permit (ALS) 20065 8/22/2016
3C7WRKBL0FG607347 Permit Vehicle Permits (BLS) 6479 9/23/2021
3C7WRKBL0FG607347 Permit Vehicle Permit (ALS) 25272 8/17/2023
3C7WRKBL2FG607348 Permit Vehicle Permit (ALS) 18932 3/17/2015
3C7WRKBL4FG607349 Permit Vehicle Permit (ALS) 25273 8/17/2023
3C7WRKBL9EG244867 Permit Vehicle Permits (BLS) 6238 1/13/2021
3C7WRKBL9EG244867 Permit Vehicle Permit (ALS) 23964 9/22/2021
3C7WRKCL4GG251615 Permit Vehicle Permits (BLS) 6944 4/10/2023
3C7WRKCL4GG251615 Permit Vehicle Permit (ALS) 25093 5/25/2023
4P1BAAFF0JA018900 Permit Vehicle Permit (ALS) 21426 5/1/2018
4P1BAAFF0LA020987 Permit Vehicle Permit (ALS) 26094 6/17/2024
4P1BAAFF1GA015884 Permit Vehicle Permit (ALS) 19677 1/12/2016
4P1BAAFF1MA023947 Permit Vehicle Permit (ALS) 24350 6/2/2022
4P1BAAFF2PA025257 Permit Vehicle Permit (ALS) 25141 6/21/2023
4P1BAAFF4MA022923 Permit Vehicle Permit (ALS) 23860 7/29/2021
4P1BAAFF8HA017035 Permit Vehicle Permit (ALS) 20472 2/27/2017
4P1BAAFFXLA020995 Permit Vehicle Permit (ALS) 26095 6/17/2024
4P1BAAGF2MA023969 Permit Vehicle Permit (ALS) 24351 6/2/2022
4P1BCAFF1LA022113 Permit Vehicle Permit (ALS) 23371 12/21/2020
4P1BCAFF1NA024060 Permit Vehicle Permit (ALS) 24950 2/27/2023
4P1BCAFF5NA024059 Permit Vehicle Permit (ALS) 24951 2/27/2023
4P1CA01A2CA013095 Permit Vehicle Permit (ALS) 17584 12/3/2012
4P1CA01A2EA014203 Permit Vehicle Permit (ALS) 18340 4/11/2014
4P1CA01A7CA012993 Permit Vehicle Permit (ALS) 17586 12/3/2012
4P1CA01A9CA012994 Permit Vehicle Permit (ALS) 17585 12/3/2012
4P1CA01AOCA012995 Permit Vehicle Permit (ALS) 17583 12/3/2012
4P1CA01AXBA012162 Permit Vehicle Permit (ALS) 17121 2/21/2012
4P1CC01A17A007630 Permit Vehicle Permit (ALS) 14619 12/6/2007
4P1CC01A18A009007 Permit Vehicle Permit (ALS) 18381 5/28/2014
4P1CC01A19A010059 Permit Vehicle Permit (ALS) 26089 6/17/2024
4P1CC01A19A010059 Permit Vehicle Permit (ALS) 15741 9/28/2009
4P1CC01A37A007631 Permit Vehicle Permit (ALS) 17120 2/21/2012
4P1CC01A3BA012093 Permit Vehicle Permit (ALS) 26093 6/17/2024
4P1CC01A57A007629 Permit Vehicle Permit (ALS) 26091 6/17/2024
4P1CC01A88A009005 Permit Vehicle Permit (ALS) 21759 9/19/2018
4P1CC01A89A010060 Permit Vehicle Permit (ALS) 26092 6/17/2024
4P1CC01AX8A009006 Permit Vehicle Permit (ALS) 15441 3/24/2009
4P1CC01AX9A010058 Permit Vehicle Permit (ALS) 15742 9/28/2009
4P1CC01AXAA011196 Permit Vehicle Permit (ALS) 16312 11/22/2010
4P1CC01M36A006584 Permit Vehicle Permit (ALS) 26090 6/17/2024
4P1CC01MX6A006579 Permit Vehicle Permit (ALS) 14221 3/16/2007
4P1CT02U14A004134 Permit Vehicle Permit (ALS) 12827 10/12/2004
4S7UR2B91CC074771 Permit Vehicle Permit (ALS) 16995 11/29/2011
4S7UR2B93CC074772 Permit Vehicle Permit (ALS) 16996 11/29/2011
4S7UR2B9XCC074770 Permit Vehicle Permit (ALS) 16994 11/29/2011
N518DS Permit Vehicle Permit (Aircraft) 2123 1/16/2024
N801DS Permit Vehicle Permit (Aircraft) 1495 6/4/2010
N803DS Permit Vehicle Permit (Aircraft) 1460 7/8/2009

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

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 11/22/2024



* 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.