License Verification

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City of Ormond Beach

License Number: ALS6410

Data As Of 12/23/2024

Profession
EMS Service Provider (ALS)
License
ALS6410
License Status
CLEAR/
Qualifications
Non - Transport
License Expiration Date
4/30/2026
License Original Issue Date
05/01/1998
Address of Record
364 South Atlantic Avenue
ORMOND BEACH, FL 32176
Discipline on File
No
Address
300 Wilmette Avenue
ORMOND BEACH, FL 32174
Address
2301 Airport Road
ORMOND BEACH, FL 32174
Address
364 South Atlantic Avenue
ORMOND BEACH, FL 32176
Address
189 South Nova Road
ORMOND BEACH, FL 32174
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
4EN6AAA8X61001404 Permit Vehicle Permit (ALS) 14047 2/23/2007
4P1BAAFF2MA023083 Permit Vehicle Permit (ALS) 24137 12/28/2021
4P1BAAFF4MA023084 Permit Vehicle Permit (ALS) 24138 12/28/2021
4P1BAAFF6GA015699 Permit Vehicle Permit (ALS) 19806 3/17/2016
4P1BAAFF6JB018989 Permit Vehicle Permit (ALS) 21357 3/27/2018
4P1CJ01A8BA011706 Permit Vehicle Permit (ALS) 16599 5/3/2011

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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.