License Verification

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Palm Bay Fire Department, City of

License Number: ALS508

Data As Of 12/22/2024

Profession
EMS Service Provider (ALS)
License
ALS508
License Status
CLEAR/
Qualifications
Non - Transport
License Expiration Date
8/25/2026
License Original Issue Date
08/26/1992
Address of Record
899 Carlyle Avenue SE
PALM BAY, FL 32909
Discipline on File
No
Address
2015 DeGroodt Road
PALM BAY, FL 32908
Address
1201 POINT MALABAR BLVD. NE
PALM BAY, FL 32905
Address
150 MALABAR ROAD SE
PALM BAY, FL 32907
Address
1200 SAN FILIPPO DRIVE SE
PALM BAY, FL 32909
Address
790 JUPITER BLVD. NW
PALM BAY, FL 32907
Address
1525 Foundation Park Blvd.
PALM BAY, FL 32909
Name Relationship Profession License Effective Date
DUDLEY, LARISSA SOPHIA Primiary Medical Director Medical Doctor 131434 07/31/2018

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Name Relationship Profession License Effective Date
1F95180304H140281 Permit Vehicle Permit (ALS) 15317 2/13/2009
1FD8X3D66LEC23970 Permit Vehicle Permit (ALS) 23606 4/1/2021
1GC1KVCG7BF224161 Permit Vehicle Permit (ALS) 25108 6/5/2023
1S9A1BND9J1003037 Permit Vehicle Permit (ALS) 21761 9/20/2018
1S9A1HND6J1003113 Permit Vehicle Permit (ALS) 21762 9/20/2018
1S9A3JNE7M1003166 Permit Vehicle Permit (ALS) 24469 8/10/2022
44KFT42825WZ20691 Permit Vehicle Permit (ALS) 13408 11/2/2005
4P1BAAFF0PA025189 Permit Vehicle Permit (ALS) 25110 6/5/2023
4P1BAAFF2FA015519 Permit Vehicle Permit (ALS) 25107 6/5/2023
4P1BAAFF3NA025023 Permit Vehicle Permit (ALS) 25109 6/5/2023
4P1BAAFF3NB024206 Permit Vehicle Permit (ALS) 24509 9/20/2022
4P1BCAFF0NA025121 Permit Vehicle Permit (ALS) 26255 8/21/2024
4P1CJ01A7EA014357 Permit Vehicle Permit (ALS) 18367 5/9/2014
4P1CS01A4EA014538 Permit Vehicle Permit (ALS) 19230 7/20/2015

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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.