License Verification

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CITY OF COCOA/COCOA FIRE DEPARTMENT

License Number: ALS518

Data As Of 12/22/2024

Profession
EMS Service Provider (ALS)
License
ALS518
License Status
CLEAR/
Qualifications
Non - Transport
License Expiration Date
2/28/2026
License Original Issue Date
03/01/2008
Address of Record
1740 Dixon Blvd.
COCOA, FL 32922
Discipline on File
Yes - Click on Discipline/Admin Action tab to see more details
Address
300 Brunson Blvd.
COCOA, FL 32922
Address
3505 State Road 524
COCOA, FL 32926
Name Relationship Profession License Effective Date
DUDLEY, LARISSA SOPHIA Primiary Medical Director Medical Doctor 131434 10/01/2024

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Name Relationship Profession License Effective Date
1FD0W5HT2LEE10764 Permit Vehicle Permit (ALS) 24945 2/22/2023
1FD0X4GT4GEB97105 Permit Vehicle Permit (ALS) 20361 12/22/2016
1S9A1BND1R3003002 Permit Vehicle Permit (ALS) 25975 4/29/2024
1S9A1BND4F1003101 Permit Vehicle Permit (ALS) 19623 12/2/2015
1S9A1BND6F1003102 Permit Vehicle Permit (ALS) 19622 12/2/2015
4P10T02A62A002365 Permit Vehicle Permit (ALS) 19671 12/28/2015
4P1CEO1A96A005715 Permit Vehicle Permit (ALS) 14752 3/1/2008

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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.