License Verification

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Golisano Children's Hospital of SW Florida

License Number: ALS10084

Data As Of 7/18/2025

Profession
EMS Service Provider (ALS)
License
ALS10084
License Status
Clear/
Qualifications
Transport
License Expiration Date
10/31/2026
License Original Issue Date
11/01/2024
Address of Record
9981 S. Healthpark Drive
FORT MYERS, FL 33908
Discipline on File
No

No secondary locations found.


Name Relationship Profession License Effective Date
MANSOUR, EMAD SHAFIK Primiary Medical Director Medical Doctor 69224 11/01/2024

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Name Relationship Profession License Effective Date
1FDUF5GT8NDA22952 NNT Permit Vehicle Permit (ALS) 26482 11/1/2024
1FVACWDT1FHGC4339-NNT Permit Vehicle Permit (ALS) 26479 11/1/2024
1HTKSSWKONH646870-NNT Permit Vehicle Permit (ALS) 26481 11/1/2024
2NKHHM6XOPM237753 Permit Vehicle Permit (ALS) 26671 1/10/2025
2NKHHM6XXKM254570-NNT Permit Vehicle Permit (ALS) 26480 11/1/2024

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 7/18/2025



* 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.