License Verification

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Mayo Clinic Jacksonville Medical Transport

License Number: ALS10015

Data As Of 12/3/2024

Profession
EMS Service Provider (ALS)
License
ALS10015
License Status
CLEAR/
Qualifications
Transport
License Expiration Date
8/21/2025
License Original Issue Date
08/22/2019
Address of Record
13970 Zumbro Drive
JACKSONVILLE, FL 32224
Discipline on File
No

No secondary locations found.


Name Relationship Profession License Effective Date
SIMON, LESLIE VANHORN Primiary Medical Director Osteopathic Physician 10313 09/01/2021

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Name Relationship Profession License Effective Date
1FDUF4GT2KED02592 Permit Vehicle Permit (ALS) 22447 8/22/2019
1FDUF4GT2KED02592 Permit Vehicle Permits (BLS) 5911 8/22/2019
1FDUF4GT3KDA07443 Permit Vehicle Permit (ALS) 26440 10/23/2024
1FDUF4GT3KDA07443 Permit Vehicle Permits (BLS) 7559 10/23/2024
1FDUF4GT5KDA07444 Permit Vehicle Permit (ALS) 22446 8/22/2019
1FDUF4GT5KDA07444 Permit Vehicle Permits (BLS) 5910 8/22/2019

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/3/2024



* 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.