License Verification

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Indian River Shores, Department of Public Safety

License Number: ALS3103

Data As Of 5/16/2024

Profession
EMS Service Provider (ALS)
License
ALS3103
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
3/30/2025
License Original Issue Date
10/01/1992
Address of Record
6001 North A1A Highway
INDIAN RIVER SHORES, FL 32963
Discipline on File
No

No secondary locations found.


Name Relationship Profession License Effective Date
FORD, ROBERT CHARLES III Primiary Medical Director Osteopathic Physician 12456 04/14/2016

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Name Relationship Profession License Effective Date
1HTMNAAM1DH153183 Permit Vehicle Permit (ALS) 17754 1/25/2013
1HTMNAAM97H477163 Permit Vehicle Permit (ALS) 14374 6/11/2007
4PICJ01A5EA014373 Permit Vehicle Permit (ALS) 25551 10/19/2023

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/16/2024



* 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.