License Verification

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Temple Terrace Fire Department

License Number: ALS2913

Data As Of 12/22/2024

Profession
EMS Service Provider (ALS)
License
ALS2913
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
5/14/2026
License Original Issue Date
11/15/1993
Address of Record
****** *** CONFIDENTIAL *************
*** CONFIDENTIAL ***********************
*** CONFIDENTIAL ***********************
*** CONFIDENTIAL ***, ** **********
Discipline on File
No
Address
7772 E. Telecom Pkwy
TEMPLE TERRACE, FL 33617
Address
124 Bullard Pkwy
TEMPLE TERRACE, FL 33617
Name Relationship Profession License Effective Date
SHEPARD, BROOKE MOLYNEUX Primiary Medical Director Medical Doctor 97665 02/03/2012

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Name Relationship Profession License Effective Date
1FVACWDU3DDBV9600 Permit Vehicle Permit (ALS) 17360 8/10/2012
1FVACWDU6BDAV1825 Permit Vehicle Permit (ALS) 16404 1/12/2011
1FVACWDU7GHHA4304 Permit Vehicle Permit (ALS) 25982 5/2/2024
1FVACWDV49HAD9851 Permit Vehicle Permit (ALS) 15392 3/17/2009
1FVACWFD6MHML6243 Permit Vehicle Permit (ALS) 23517 2/19/2021
4P1BAAGF1KA020459 Permit Vehicle Permit (ALS) 22316 7/11/2019
4P1BCAG3GA016544 Permit Vehicle Permit (ALS) 20068 8/23/2016
4P1CU01E89A009894 Permit Vehicle Permit (ALS) 22315 7/11/2019
4P1CU01S05A005306 Permit Vehicle Permit (ALS) 13382 10/12/2005

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* 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.