License Verification

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Hollywood Fire Rescue & Beach Safety Department

License Number: ALS612

Data As Of 7/17/2025

Profession
EMS Service Provider (ALS)
License
ALS612
License Status
Clear/
Qualifications
Transport
License Expiration Date
2/21/2027
License Original Issue Date
02/22/1993
Address of Record
2741 Stirling Road
HOLLYWOOD, FL 33312
Discipline on File
No
Address
3401 Hollywood Blvd.
HOLLYWOOD, FL 33021
Address
707 Ocean Drive
HOLLYWOOD, FL 33019
Address
1810 North 64th Avenue
HOLLYWOOD, FL 33024
Address
1511 South Federal Highway
HOLLYWOOD, FL 33020
Address
1819 N 21st Avenue
HOLLYWOOD, FL 33020
Address
3400 N 56th Avenue
HOLLYWOOD, FL 33021
Name Relationship Profession License Effective Date
KATZ, RANDY SCOTT Primiary Medical Director Osteopathic Physician 9149 06/14/2013
LOPEZ, SANDRA MARCELA Secondary Medical Director Medical Doctor 156076 03/21/2023

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Name Relationship Profession License Effective Date
1FAVCWFC2RHVF8785 Permit Vehicle Permit (ALS) 27156 7/9/2025
1FVACWCS73HL89709 Permit Vehicle Permit (ALS) 11978 7/14/2003
1FVACWCS94HM92728 Permit Vehicle Permit (ALS) 20471 2/27/2017
1FVACWCT56HW18983 Permit Vehicle Permit (ALS) 13544 1/26/2006
1FVACWCT76HW18984 Permit Vehicle Permit (ALS) 13545 1/26/2006
1FVACWDK29HAM5974 Permit Vehicle Permit (ALS) 15596 7/10/2009
1FVACWDK59HAG7592 Permit Vehicle Permit (ALS) 15595 7/10/2009
1FVACWDK79HAG7593 Permit Vehicle Permit (ALS) 15594 7/10/2009
1FVACWDU5HHHY6507 Permit Vehicle Permit (ALS) 20485 3/7/2017
1FVACWDU7HHY6508 Permit Vehicle Permit (ALS) 20486 3/7/2017
1FVACWDU8GHHF9375 Permit Vehicle Permit (ALS) 19712 2/1/2016
1FVACWDU9HHY6509 Permit Vehicle Permit (ALS) 20487 3/7/2017
1FVACWFC0RHVF8784 Permit Vehicle Permit (ALS) 27155 7/9/2025
1FVACWFC9RHVF8783 Permit Vehicle Permit (ALS) 27154 7/9/2025
1FVACWFD1LHLL8428 Permit Vehicle Permit (ALS) 23411 1/11/2021
1FVACWFD1LHLL8429 Permit Vehicle Permit (ALS) 23412 1/11/2021
1FVACWFD4NHNM9545 Permit Vehicle Permit (ALS) 25202 7/20/2023
1FVACWFD9NHNM9546 Permit Vehicle Permit (ALS) 25203 7/20/2023
1HTMNAAM1DH310713 Permit Vehicle Permit (ALS) 17792 2/11/2013
1HTMNAAM8EH767665 Permit Vehicle Permit (ALS) 17938 6/4/2013
1P1BAAFF1LA021808 Permit Vehicle Permit (ALS) 25200 7/20/2023
4P1BAAFF2FA015245 Permit Vehicle Permit (ALS) 25196 7/20/2023
4P1BAAFF3HA017458 Permit Vehicle Permit (ALS) 25197 7/20/2023
4P1BAAFF5NA024570 Permit Vehicle Permit (ALS) 25201 7/20/2023
4P1BAAFFLA021831 Permit Vehicle Permit (ALS) 25198 7/20/2023
4P1BAAFFXLA021807 Permit Vehicle Permit (ALS) 25199 7/20/2023
4P1CT02S0YA000161 Permit Vehicle Permit (ALS) 25193 7/20/2023
4P1CT02S2YA000730 Permit Vehicle Permit (ALS) 25192 7/20/2023
4P1CT02S3WA000314 Permit Vehicle Permit (ALS) 25191 7/20/2023
4P1CT02S44A004076 Permit Vehicle Permit (ALS) 25194 7/20/2023

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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 7/17/2025



* 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.