License Verification

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Port Orange Department of Fire Rescue

License Number: ALS6406

Data As Of 12/23/2024

Profession
EMS Service Provider (ALS)
License
ALS6406
License Status
CLEAR/
Qualifications
Non - Transport
License Expiration Date
4/24/2026
License Original Issue Date
04/25/1992
Address of Record
1090 City Center Boulevard
PORT ORANGE, FL 32129
Discipline on File
No
Address
1701 Town West Boulevard
PORT ORANGE, FL 32129
Address
1090 City Center Boulevard
PORT ORANGE, FL 32129
Address
4200 South Ridgewood Avenue
PORT ORANGE, FL 32129
Address
6027 Central Park Boulevard
PORT ORANGE, FL 32127
Address
6701 Airport Road
PORT ORANGE, FL 32128
Name Relationship Profession License Effective Date
GERSHEN, JESSICA BETH Primiary Medical Director Medical Doctor 123153 07/01/2022

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Name Relationship Profession License Effective Date
1FDUF5HT6NED19033 Permit Vehicle Permit (ALS) 25966 4/23/2024
1HTMNAAM15H688953 Permit Vehicle Permit (ALS) 24283 4/13/2022
3C7WRKCL4GG251615 Permit Vehicle Permit (ALS) 21985 1/8/2019
4P1BAAFF1KA019653 Permit Vehicle Permit (ALS) 21986 1/8/2019
4P1BAAFFXGA015933 Permit Vehicle Permit (ALS) 19730 3/3/2016
4P1BCAFF2JA018214 Permit Vehicle Permit (ALS) 21987 1/8/2019
4P1CC01M69A010391 Permit Vehicle Permit (ALS) 15878 1/4/2010
4P1CJ01A2EA014539 Permit Vehicle Permit (ALS) 18518 7/28/2014
4P1CS01A8EA014106 Permit Vehicle Permit (ALS) 18271 2/28/2014
4P1CS01M0CA013152 Permit Vehicle Permit (ALS) 17578 11/27/2012
4P1CT02U04A004027 Permit Vehicle Permit (ALS) 14286 4/16/2007

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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.