mqa reports ems data unit weekly providers reportcity of clearwater lic 5204 06/03/202112/04/1992...

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- MQA Reports EMS Data Unit Weekly Providers Report Processed: Page 1 of 21 7:49:50AM 2/21/202 0 Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip 7016 10/28/2014 10/27/2020 AIR/I [email protected] 340-715-7942 888-701-1026 Joyce Mckenzie Aac-Air Amb. Caribbean, Inc. Dba Aeromd - Lic #7016 St Thomas VI 8000 Nisky Center Suite 1 Foreign 00802 1301 03/03/1998 03/02/2022 AIR/I [email protected] 800-633-3590 305-232-7734 Al Meyreles, Vice President Advanced Air Ambulance, Corporation - Lic #1301 Miami FL 12360 Sw 132Nd Court, #208 Miami-Dade 33186-6 463 4905 01/10/1993 08/29/2020 ALS/T [email protected] (407) 303-5645 (407) 303-1975 Margot Ververis, Senior Manager Adventhealth Ems - Lic #4905 Orlando FL 601 East Rollins Street Suite 161 Orange 32803 4804 02/28/1993 02/27/2021 AIR/IR [email protected] (407) 303-5645 (407) 303-1975 Margot Ververis, Senior Manager Adventhealth Flight I - Lic #4804 Orlando FL 601 East Rollins Street Mailbox 161 Orange 32803 10006 06/05/2018 06/04/2020 ALS/T [email protected] (813) 929-5646 (813) 929-5647 C/O Jeffrey A. Bogue Adventhealth Wesley Chapel - Lic #10006 Wesley Chapel FL 2600 Bruce B. Downs Boulevard Pasco 33544 7019 11/30/2015 11/29/2021 AIR/I [email protected] (630) 466-0800 (630) 395-9353 Rebecca Werth, Vp Of Clinical Operations Aerocare Medical Transport System, Inc. - Lic #7019 Sugar Grove IL 43W752 U.S. Highway 30 Suite 2F Out Of State 60554 10001 01/19/2017 01/18/2021 ALS/T [email protected] (863) 698-9764 (863) 519-0053 Adam Plotz, Operations Manager Affordable Transport, Inc. - Lic #10001 Lakeland FL 3706 Dmg Drive Polk 33811 808 06/04/2014 06/03/2020 AIR/I [email protected] (941) 639-9119 (941) 761-5838 Michael Peat, President Air Ambulance Network - Lic #808 Punta Gorda FL 25591 Technology Boulevard Unit B Charlotte 33950 5231 02/01/2002 04/26/2022 AIR/I [email protected] (727) 781-1198 (727) 786-0897 Ryan Jones, Sr. Vice President Of Oper. Air Ambulance Worldwide, Llc - Lic #5231 Clearwater FL 4311 General Howard Drive Pinellas 33762 805 04/28/2010 04/27/2020 AIR/I [email protected] (800) 550-1025 (941) 761-5838 Michael Peat, President Air Critical Care, Llc - Lic #805 Punta Gorda FL 25591 Technology Boulevard Unit A Charlotte 33950 1333 01/22/2010 01/21/2022 AIR/I [email protected] 305-661-1515 305-668-3375 Mr. George T. Macconnell Air Medical Charters, Llc - Lic #1333 Coral Gables FL 5955 Ponce De Leon Blvd Miami-Dade 33146 5810 11/25/2014 11/24/2020 AIR/I [email protected] (919) 412-1652 (941) 315-4313 Joseph Gonzales, Ceo Air Medical Group, Inc. - Lic #5810 Lakewood Ranch FL 5582 Broadcast Court Sarasota 34240 801 08/23/1993 08/22/2021 AIR/I [email protected] 941-639-7855 888-471-1656 Mr. Dana Carr, Vp Air Trek, Inc. - Lic #801 Punta Gorda FL 28000 A-5 Airport Rd Charlotte 33982 7014 04/14/2014 04/13/2022 AIR/I [email protected] 205-443-4840 205-443-4841 Denise Treadwell, President Airmed International Llc, - Lic #7014 Birmingham AL 950 22Nd Street North, Suite 800 Out Of State 35203 9512 10/16/2019 10/15/2021 AIR/I [email protected]; [email protected] (954) 533-1585 (954) 533-3242 Mitch Stanaland, Dir. Medical Services Aitheras Airmedical Group D/B/A Acute Air Ambulance - Lic #9512 Fort Lauderdale FL 750 Southwest 34Th Street Broward 33315 pkg_rpt_lic.p_dxl112:02/21/2020 07:49:52 VR -- FOR INTERNAL USE ONLY -- Florida Department of Health

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Page 1: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

7016 10/28/2014 10/27/2020 AIR/I [email protected] 340-715-7942 888-701-1026 Joyce Mckenzie Aac-Air Amb. Caribbean, Inc. Dba Aeromd - Lic #7016

St Thomas VI 8000 Nisky Center Suite 1 Foreign 00802

1301 03/03/1998 03/02/2022 AIR/I [email protected] 800-633-3590 305-232-7734 Al Meyreles, Vice President Advanced Air Ambulance, Corporation - Lic #1301

Miami FL 12360 Sw 132Nd Court, #208

Miami-Dade 33186-6463

4905 01/10/1993 08/29/2020 ALS/T [email protected] (407) 303-5645 (407) 303-1975 Margot Ververis, Senior Manager

Adventhealth Ems - Lic #4905

Orlando FL 601 East Rollins Street Suite 161

Orange 32803

4804 02/28/1993 02/27/2021 AIR/IR [email protected] (407) 303-5645 (407) 303-1975 Margot Ververis, Senior Manager

Adventhealth Flight I - Lic #4804

Orlando FL 601 East Rollins Street Mailbox 161

Orange 32803

10006 06/05/2018 06/04/2020 ALS/T [email protected] (813) 929-5646 (813) 929-5647 C/O Jeffrey A. Bogue Adventhealth Wesley Chapel - Lic #10006

Wesley Chapel FL 2600 Bruce B. Downs Boulevard

Pasco 33544

7019 11/30/2015 11/29/2021 AIR/I [email protected] (630) 466-0800 (630) 395-9353 Rebecca Werth, Vp Of Clinical Operations

Aerocare Medical Transport System, Inc. - Lic #7019

Sugar Grove IL 43W752 U.S. Highway 30 Suite 2F

Out Of State 60554

10001 01/19/2017 01/18/2021 ALS/T [email protected] (863) 698-9764 (863) 519-0053 Adam Plotz, Operations Manager

Affordable Transport, Inc. - Lic #10001

Lakeland FL 3706 Dmg Drive Polk 33811

808 06/04/2014 06/03/2020 AIR/I [email protected] (941) 639-9119 (941) 761-5838 Michael Peat, President Air Ambulance Network - Lic #808

Punta Gorda FL 25591 Technology Boulevard Unit B

Charlotte 33950

5231 02/01/2002 04/26/2022 AIR/I [email protected] (727) 781-1198 (727) 786-0897 Ryan Jones, Sr. Vice President Of Oper.

Air Ambulance Worldwide, Llc - Lic #5231

Clearwater FL 4311 General Howard Drive

Pinellas 33762

805 04/28/2010 04/27/2020 AIR/I [email protected] (800) 550-1025 (941) 761-5838 Michael Peat, President Air Critical Care, Llc - Lic #805

Punta Gorda FL 25591 Technology Boulevard Unit A

Charlotte 33950

1333 01/22/2010 01/21/2022 AIR/I [email protected] 305-661-1515 305-668-3375 Mr. George T. Macconnell Air Medical Charters, Llc - Lic #1333

Coral Gables FL 5955 Ponce De Leon Blvd Miami-Dade 33146

5810 11/25/2014 11/24/2020 AIR/I [email protected] (919) 412-1652 (941) 315-4313 Joseph Gonzales, Ceo Air Medical Group, Inc. - Lic #5810

Lakewood Ranch FL 5582 Broadcast Court Sarasota 34240

801 08/23/1993 08/22/2021 AIR/I [email protected] 941-639-7855 888-471-1656 Mr. Dana Carr, Vp Air Trek, Inc. - Lic #801 Punta Gorda FL 28000 A-5 Airport Rd Charlotte 33982

7014 04/14/2014 04/13/2022 AIR/I [email protected] 205-443-4840 205-443-4841 Denise Treadwell, President Airmed International Llc, - Lic #7014

Birmingham AL 950 22Nd Street North, Suite 800

Out Of State 35203

9512 10/16/2019 10/15/2021 AIR/I [email protected]; [email protected] (954) 533-1585 (954) 533-3242 Mitch Stanaland, Dir. Medical Services

Aitheras Airmedical Group D/B/A Acute Air Ambulance - Lic #9512

Fort Lauderdale FL 750 Southwest 34Th Street

Broward 33315

pkg_rpt_lic.p_dxl112:02/21/2020 07:49:52 VR -- FOR INTERNAL USE ONLY -- Florida Department of Health

Page 2: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

101 07/25/1993 07/24/2021 ALS/T [email protected] (352) 384-3101 (352) 337-6138 Harold Theus, Fire Chief Alachua County Fire Rescue - Lic #101

Gainesville FL Po Box 5038 Alachua 32627

804 06/20/1995 06/19/2021 ALS/T [email protected] (941) 629-7314 (941) 629-7314 Mr. Alan Skavroneck Ambitrans Medical Transport, Inc. - Lic #804

Port Charlotte FL 4351 Pinnacle St Charlotte 33980

2922 06/25/2003 06/24/2021 ALS/T [email protected] 813-930-0911 866-912-7611 Jeffrey B Youngblood, General Manager

Americare Ambulance Service, Inc. - Lic #2922

Seffner FL 11301 Us Highway 92 East Hillsborough 33584

10017 10/10/2019 10/09/2021 ALS/T [email protected] (904) 733-6600 (904) 733-6600 Larry Richardson, Executive Vp & Coo

Ameripro Ems Of Florida, Llc - Lic #10017

Jacksonville FL 4810 Executive Park Court Suite 112

Duval 32216

5001 05/29/1992 05/28/2020 ALS/T [email protected] (561) 533-5633 (561) 588-5199 William Hall, Regional Director

Atlantic/Palm Beach Ambulance, Inc. Dba Amr - Lic #5001

Lake Worth FL 1105 Barnett Drive Suite D

Palm Beach 33461

201 01/22/1992 01/21/2022 ALS/T [email protected] (904) 259-0229 (904) 259-3923 B. Trevor Nelson, Fire And Rescue Chief

Baker County Fire Rescue - Lic #201

Macclenny FL 1190 West Macclenny Avenue

Baker 32063

304 09/10/2013 09/09/2021 ALS/T [email protected] (850) 248-6040 (850) 248-6059 Mark Bowen, Chief Bay County Emergency Medical Services Division - Lic #304

Southport FL 700 Hwy 2300 Bay 32409

10008 08/24/2018 08/23/2020 ALS/N [email protected] (941) 964-2908 (941) 964-0368 C.W. Blosser, Fire Chief Boca Grande Fire Control District - Lic #10008

Boca Grande FL Post Office Box 532 Lee 33921

5003 10/29/1992 04/28/2021 ALS/T [email protected]; [email protected]

(561) 982-4000 (561) 982-4062 Craig Ashley, Division Chief Boca Raton Fire Rescue - Lic #5003

Boca Raton FL 6500 Congress Avenue Suite 200

Palm Beach 33487

3606 03/08/1999 03/07/2021 ALS/N [email protected] 239-949-6200 239-939-6207 Richard Scott, Deputy Chief Bonita Springs Fire Control & Rescue District - Lic #3606

Bonita Springs FL 27701 Bonita Grande Drive

Lee 34135

401 08/09/1993 08/08/2021 ALS/T [email protected] (904) 966-6911 (904) 966-6171 Allen Parrish, Director Bradford County Emergency Services - Lic #401

Starke FL 945-C N Temple Ave Bradford 32091

501 12/12/1992 12/11/2020 ALS/T [email protected] (321) 633-2056 (321) 633-2057 Mark Schollmeyer, Fire Chief

Brevard County Fire Rescue - Lic #501

Rockledge FL 1040 S Florida Ave Brevard 32955

606 05/29/1992 05/28/2020 ALS/T [email protected] (954) 312-1700 Daniel Southwick Broward Ambulance, Inc., Dba Amr - Lic #606

Pompano Beach FL 2500 Nw 29Th Manor Broward 33069

703 03/19/2015 01/30/2022 ALS/T [email protected] (850) 674-5411 (850) 237-1506 Jacob Shuler, Chief Calhoun Liberty Hospital Association - Lic #703

Blountstown FL 20382 Nw Pennington Avenue

Calhoun 32424

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Page 3: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

10010 12/13/2018 12/12/2020 ALS/N [email protected] (561) 939-9625 James D'Arcy, Coo Cambridge Security Services - Lic #10010

Fort Lauderdale FL 5100 North Federal Highway Suite 405

Broward 33308

502 01/30/1992 01/29/2022 ALS/N [email protected] (321) 783-4424 (321) 783-4887 Dave Sargeant, Chief Cape Canaveral Volunteer Fire Department, Inc - Lic #502

Cape Canaveral FL 8970 Columbia Road Brevard 32920

3611 08/01/2011 07/31/2021 ALS/N [email protected] 239-242-3613 239-573-3002 Brandon Morris, Battalion Chief

Cape Coral Fire Department - Lic #3611

Cape Coral FL P. O. Box 150027 Lee 33915

519 10/01/2008 09/30/2020 ALS/T [email protected] (321) 853-9251 (321) 476-5522 Thomas M. Smith, Fire Chief Ccafs Ems System - Lic #519

Merritt Island FL 14650 Mercury Gemini Rd Brevard 32925

1614 09/15/2015 09/14/2021 ALS/T [email protected] (904) 356-0835 (904) 356-9677 Matthew Johnson, Manager Century Ambulance Service, Inc. - Lic #1614

Jacksonville FL 2110 Herschel Street Duval 32204

10000 09/14/2016 09/13/2020 ALS/T [email protected] (904) 356-0835 (904) 356-9677 Matthew Johnson, Manager Century Ambulance Service, Inc. Dba Century Ems - Columbia Co. - Lic #10000

Jacksonville FL 2110 Herschel Street Duval 32204

803 04/29/1993 10/28/2021 ALS/T [email protected] (941) 833-5600 (941) 833-5630 Michael Davis, Deputy Chief Charlotte County Fire And Ems Department - Lic #803

Punta Gorda FL 26571 Airport Rd Charlotte 33982

9510 09/20/2018 09/19/2020 AIR/I [email protected] (917) 202-8622 (610) 822-5996 Guillermo Tejada, Vice President

Children'S Air Ambulance - Lic #9510

Fort Lauderdale FL 5901 Nw 24 Way, Hangar B

Broward 33309

10021 01/08/2020 01/07/2022 ALS/N [email protected] (352)527-5406 (352) 527-5404 Craig Stevens, Fire Chief Citrus County Fire Rescue - Lic #10021

Lecanto FL 3600 West Sovereign Path Suite 141

Citrus 34461

4803 04/19/1993 04/18/2021 ALS/T [email protected] (407) 703-1756 (407) 703-1708 Wilfredo Rivera Sanchez, Captain

City Of Apopka Fire Department - Lic #4803

Apopka FL 175 East 5Th Street Orange 32703

5004 09/05/1992 09/04/2020 ALS/T [email protected], [email protected] (561) 742-6337 (561) 742-6334 Mike Besosa, Assistant Chief Of Ems

City Of Boynton Beach Fire Rescue - Lic #5004

Boynton Beach FL 2080 High Ridge Road Palm Beach 33426

5204 12/04/1992 06/03/2021 ALS/N [email protected] (727) 562-4334 (727) 562-4328 Scott Ehlers, Chief City Of Clearwater - Lic #5204

Clearwater FL 1140 Court Street Pinellas 33756

518 03/01/2008 02/28/2022 ALS/N [email protected] (321) 639-7613 (321) 690-6977 Tom Redmond, District Chief City Of Cocoa/Cocoa Fire Department - Lic #518

Cocoa FL 1740 Dixon Blvd. Brevard 32922

pkg_rpt_lic.p_dxl112:02/21/2020 07:49:52 VR -- FOR INTERNAL USE ONLY -- Florida Department of Health

Page 4: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

6401 07/01/1993 04/28/2021 ALS/N [email protected] (386) 671-4000 (386) 671-3933 Dru Driscoll, Fire Chief City Of Daytona Beach Fire Department - Lic #6401

Daytona Beach FL 301 South Beach Street Volusia 32114

5005 12/03/1992 12/02/2020 ALS/T [email protected] (561) 243-7440 (561) 243-7461 L. Keith Tomey Iii, Acting Fire Chief

City Of Delray Beach Fire Rescue - Lic #5005

Delray Beach FL 501 West Atlantic Avenue Palm Beach 33444

6403 10/06/1992 10/05/2020 ALS/N [email protected] (386) 575-6902 (386) 860-7198 Bill Snyder, Fire Chief City Of Deltona Fire Department - Lic #6403

Deltona FL 1685 Providence Boulevard

Volusia 32725

5229 06/01/1998 05/31/2020 ALS/N [email protected] (727) 298-3093 (727) 298-3104 Jeffrey Parks, Fire Chief City Of Dunedin - Lic #5229

Dunedin FL 1042 Virginia Street Pinellas 34698

6409 12/14/1995 12/13/2021 ALS/N [email protected]; [email protected]

(386) 424-2400 (386) 424-2450 Jeffery Lariscy, Fire Chief City Of Edgewater Fire Rescue - Lic #6409

Edgewater FL P.O. Box 100 Volusia 32132

5207 08/18/1993 08/17/2021 ALS/N [email protected] (727) 893-1062 (727) 893-1060 James Marenkovic, Fire Chief

City Of Gulfport - Lic #5207

Gulfport FL 2401 53Rd Street South Pinellas 33707

6411 06/06/2016 10/31/2020 ALS/N [email protected] (386) 248-9473 (386) 248-9461 James Bland, Fire Chief City Of Holly Hill Fire Rescue - Lic #6411

Holly Hill FL 1065 Ridgewood Avenue Volusia 32117

4413 01/27/2015 01/26/2021 ALS/T [email protected] 305-809-3796 305-294-8399 Mr. Edward Perez, Div. Chief City Of Key West Fire Department - Lic #4413

Key West FL 1600 North Roosevelt Blvd Monroe 33040

5210 06/07/1993 06/06/2021 ALS/N [email protected] (727) 587-6714 (727) 587-6798 Terry Tokarz, Division Chief City Of Largo - Lic #5210

Largo FL 201 Highland Avenue Pinellas 33770

5212 08/15/1993 08/14/2021 ALS/N [email protected], [email protected]

(727) 391-9951 (727) 399-9238 Robert Daniels City Of Madeira Beach - Lic #5212

Madeira Beach FL 250 Municipal Drive Pinellas 33708

4407 04/01/2002 03/31/2022 ALS/T [email protected] 305-743-5266 305-289-9834 Chief John A. Johnson Or Anna Hendricks

City Of Marathon Fire Rescue - Lic #4407

Marathon FL 8900 Overseas Highway Monroe 33050

5230 08/01/1998 05/30/2020 ALS/N [email protected] (813) 749-1200 (813) 891-6814 Dave Young, Interim Fire Chief

City Of Oldsmar - Lic #5230

Oldsmar FL 225 Pine Avenue North Pinellas 34677

6410 05/01/1998 04/30/2020 ALS/N [email protected] (386) 676-3255 (386) 676-3564 Richard Sievers, Fire Chief City Of Ormond Beach - Lic #6410

Ormond Beach FL 364 South Atlantic Avenue Volusia 32176

5214 10/31/1992 04/30/2021 ALS/N [email protected] (727) 369-5810 (727) 369-5785 Brett Schlatterer, Fire Chief City Of Pinellas Park - Lic #5214

Pinellas Park FL 11350 43Rd Street North Pinellas 33762

5016 11/05/1992 05/04/2021 ALS/T [email protected] (561) 845-4109 (561) 845-4137 John M. Curd, Interim Fire Chief

City Of Riviera Beach Fire Rescue - Lic #5016

Riviera Beach FL 600 West Blue Heron Boulevard

Palm Beach 33404

5215 04/14/1993 04/04/2021 ALS/N [email protected] (727) 724-1573 (727) 724-1569 Joshua Saavedra, Fire Captain

City Of Safety Harbor - Lic #5215

Safety Harbor FL 700 Main Street Pinellas 34695

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Page 5: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

5228 12/09/1996 12/08/2020 ALS/N [email protected] (727) 393-8711 (727) 319-6583 William Morelli, Assistant Fire Chief

City Of Seminole - Lic #5228

Seminole FL 9199 113Th Street North Pinellas 33772

5217 03/24/1993 03/23/2021 ALS/N [email protected] (727) 344-1666 (727) 381-4324 David Mixson, Fire Chief City Of South Pasadena - Lic #5217

South Pasadena FL 911 Oleander Way South Pinellas 33707

5218 01/23/1993 07/22/2021 ALS/N [email protected] (727) 363-9207 (727) 549-6453 Adam Poirrier, District Fire Chief

City Of St. Pete Beach - Lic #5218

St Pete Beach FL 7301 Gulf Boulevard Pinellas 33706

5219 01/23/1993 07/22/2021 ALS/N [email protected] (727) 893-7076 (727) 892-5468 Ian Womack, Rescue Division Chief

City Of St. Petersburg - Lic #5219

Saint Petersburg FL 400 Dr. M L King Jr. Street South

Pinellas 33701

4305 09/27/1993 09/26/2021 ALS/T [email protected] 772-600-1287 772-288-5371 Vincent Felicione, Fire Chief City Of Stuart Fire Rescue - Lic #4305

Stuart FL 800 Se Dr. Mar Luther King Jr Blvd

Martin 34994

5221 05/06/1993 03/11/2021 ALS/N [email protected] (727) 938-3737 (727) 934-0598 Craig Misener, Deputy Chief City Of Tarpon Springs - Lic #5221

Tarpon Springs FL 444 Huey Avenue South Pinellas 34689

5222 12/13/1993 12/12/2021 ALS/N [email protected] (727) 547-5490 (727) 548-4598 William "Trip" Barrs, Fire Chief

City Of Treasure Island - Lic #5222

Treasure Island FL 180 108Th Avenue Pinellas 33706

1001 04/10/1993 04/09/2021 ALS/T [email protected] (904) 284-7703 (904) 284-7144 Jason Boree, Deputy Chief Clay County Fire Rescue - Lic #1001

Green Cove Springs

FL Po Box 1366 Clay 32043

7020 12/16/2015 12/15/2021 AIR/I [email protected] 954-659-6083 954-659-6084 Osmel Delgado, Coo Cleveland Clinic Florida Health System Nonprofit Corporation - Lic #7020

Weston FL 3100 Weston Road Broward 33331

503 09/30/1992 03/29/2021 ALS/T [email protected] (321) 631-1448 (321) 632-3005 William D Mccarthy. Ceo/President

Coastal Health Systems Of Brevard, Inc. - Lic #503

Rockledge FL 486 Gus Hipp Blvd Brevard 32955

512 01/01/1999 12/31/2020 ALS/N [email protected] (321) 868-3330 (321) 868-1203 Ryan Duckworth, Chief Cocoa Beach Fire Department - Lic #512

Cocoa Beach FL 50 S Orlando Ave Brevard 32931

1102 04/19/1993 04/18/2021 ALS/T [email protected] (239) 252-3740 239-252-3298 Tabatha Butcher, Chief Collier County Ems Department - Lic #1102

Naples FL 8075 Lely Cultural Pkwy, Ste 267

Collier 34113

10003 02/21/2018 02/20/2022 ALS/N [email protected] 386-754-7057 386-754-7064 Jeffery Crawford, Fire Rescue Chief

Columbia County Fire Rescue - Lic #10003

Lake City FL P.O. Box 1529 Columbia 32056

1305 01/23/1993 07/22/2021 ALS/T [email protected] 305-460-5568 305-460-5589 Xavier Jones, Captain Coral Gables Fire Rescue Department - Lic #1305

Coral Gables FL 2815 Salzedo Street Miami-Dade 33134

633 12/14/1995 12/13/2021 ALS/T [email protected] (954) 344-5934 (954) 344-5933 Michael Mcnally, Chief Coral Springs Fire Department, City Of - Lic #633

Coral Springs FL 2801 Coral Springs Drive Broward 33065

6407 08/09/1993 08/08/2021 ALS/T [email protected] (386) 740-5201 (386) 254-1503 Mark D. Wolcott, Director County Of Volusia - Lic #6407

Daytona Beach FL 3825 Tiger Bay Road Volusia 32124

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Page 6: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

6601 12/19/1992 12/18/2020 ALS/T [email protected] (850) 892-6162 (850) 951-2911 Tracey D. Vause, Ems Chief County Of Walton Office Of Sheriff D/B/A Walton County Fire Res. - Lic #6601

Defuniak Springs FL 63 Bo Pete Manor Road Walton 32435

5403 07/06/2011 07/05/2021 BLS/T [email protected] 386-336-9515 888-475-1300 Ms. Melanie Burger Courtesy Transport Services, Llc - Lic #5403

Ocala FL 1710 North East 40Th Avenue

Marion 34470

639 09/15/1996 09/14/2020 ALS/T [email protected] (954) 797-1213 (954) 797-1234 Julie Downey, Fire Chief Davie Fire Rescue, The Town Of - Lic #639

Davie FL 6901 Orange Dr Broward 33314

6402 05/20/1993 03/23/2021 ALS/N [email protected] (386) 763-5333 (386) 763-5341 Stephan Dembinsky, Public Safety Dir.

Daytona Beach Shores Department Of Public Safety - Lic #6402

Daytona Beach Shores

FL 3050 South Atlantic Avenue

Volusia 32118

1402 08/01/1992 07/31/2020 ALS/T [email protected] (863) 993-4842 (863) 993-4844 Chad Jorgensen, Public Safety Chief

Desoto County Fire/Rescue Department - Lic #1402

Arcadia FL 122 N Hillsborough Ave Desoto 34266

1501 10/11/1992 04/10/2021 ALS/T [email protected] (352) 498-1240 (352) 498-1244 Darian Brown, Chief Dixie County Emergency Medical Services - Lic #1501

Cross City FL Po Box 2009 Dixie 32628

6202 06/01/1999 05/31/2021 ALS/T [email protected] (850) 584-2227 (850) 584-8725 Zach Hale, Ems Director Doctors' Memorial Hospital - Lic #6202

Perry FL 333 North Byron Butler Parkway

Taylor 32347

5205 02/26/1993 08/25/2021 ALS/N [email protected] (727) 784-8668 (727) 474-5830 George Bessler, Assistant Chief

East Lake Tarpon Special Fire Control District - Lic #5205

Palm Harbor FL 3375 Tarpon Lake Boulevard

Pinellas 34685

1703 12/15/1992 12/14/2020 ALS/T [email protected] (850) 471-6400 (850) 471-6455 John S. Dosh, Interim Director

Escambia County Public Safety Department - Lic #1703

Pensacola FL 6575 North W St Escambia 32505

3609 09/01/2000 08/31/2020 ALS/N [email protected] 239-390-8000 239-390-8020 Todd Coulter, Chief Of Health/Safety

Estero Fire Rescue - Lic #3609

Estero FL 21500 Three Oaks Parkway

Lee 33928

1615 09/22/2015 09/20/2021 ALS/T [email protected] (912) 367-0300 (912) 225-1994 James Graham, M.D. Excelsior Ambulance Service, Inc. - Lic #1615

Lake City FL 173 Southeast Baya Drive Columbia 32025

5225 04/18/2013 05/13/2021 AIR/I [email protected]; [email protected]

(800) 304-8094 Chris Watson, Operations Manager

Express Air Medical Transport - Lic #5225

Tampa FL 6530 Tampa Executive Road Unit #123

Hillsborough 33610

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5610 09/10/2012 09/09/2020 ALS/T [email protected] 772-465-1111 772-466-1150 Mr. Mike Desouza Falck Southeast Ii Corp., Dba All County Ambulance - Lic #5610

Miami FL Po Box 668710 Miami-Dade 33166

1336 09/10/2012 09/09/2020 ALS/T [email protected] 305-925-2000 305-888-3229 Michael Arguelles, Coo Falck Southeast Ii Corp., Dba American Ambulance Service - Lic #1336

Miami FL 6605 Nw 74 Ave Miami-Dade 33166

4820 09/10/2012 09/09/2020 ALS/T [email protected] 407-292-8777 407-292-8757 Robert Eberhart, Manager Falck Southeast Ii, Corp., Dba American Ambulance - Lic #4820

Orlando FL 3747 Silver Star Rd Orange 32808

4502 09/25/2008 09/24/2020 ALS/T [email protected] 904-277-7331 904-310-3453 Harvey T. Silcox, Fire Chief Fernandina Beach, City Of - Lic #4502

Fernandina Beach

FL 204 Ash Street Nassau 32034

10004 04/20/2018 04/19/2020 ALS/T [email protected] 407-777-4322 407-386-6624 Christopher Luczywo, Coo First 2 Aid Ems, Inc. - Lic #10004

Kissimmee FL 3700 Commerce Blvd. Suite 150

Osceola 34741

2905 01/18/1992 01/17/2022 AIR/IR [email protected] 813-844-7400 813-844-5773 Michele Moran, Senior Director

Fl Health Sciences Ctr, Inc. Dba Tampa General Hospital, Aeromed - Lic #2905

Tampa FL 1 Tampa General Circle Hillsborough 33606

1801 03/24/1993 03/23/2021 ALS/T [email protected] (386) 313-4256 (386) 313-4299 Don Petito, Fire Chief Flagler County Fire Rescue - Lic #1801

Bunnell FL 1769 East Moody Blvd #3 Flagler 32110

4411 12/07/2012 12/06/2020 ALS/T [email protected] 305-414-8136 305-396-5889 Mr. Edward F. Bonilla, Ceo Florida Keys Ambulance Service, Inc. - Lic #4411

Tavernier FL Po Box 1259 Monroe 33070

2002 07/29/2005 08/02/2021 BLS/T [email protected] (850) 663-7644 (850) 663-7116 Michael Hall, Chief Florida State Hospital - Lic #2002

Chattahoochee FL Po Box 1000, Building 1250

Gadsden 32324

632 12/01/1995 11/30/2021 ALS/T [email protected] (954) 828-6800 (954) 828-6843 Rhoda Mae Kerr, Fire Chief Fort Lauderdale Fire Rescue Department - Lic #632

Ft. Lauderdale FL 528 Nw 2Nd St Broward 33311

3601 04/28/1993 04/27/2021 ALS/T [email protected] 239-590-4200 239-463-6761 Chief Randy Kraus Ft. Myers Beach Fire Control District - Lic #3601

Fort Myers Beach FL 100 Voorhis Street Lee 33931

5027 03/08/2002 03/07/2022 ALS/N [email protected] (561) 386-0469 (561) 994-8502 Frank Hernandez, General Manager

G4S Secure Solutions (Usa) Inc. Dba G4S - Lic #5027

Boca Raton FL 1225 Broken Sound Parkway Suite E

Palm Beach 33487

2001 09/08/1993 09/07/2021 ALS/T [email protected] (850) 875-3852 (850) 875-8687 Keith Maddox, Ems Chief Gadsden County Ems - Lic #2001

Quincy FL Post Office Box 488 Gadsden 32351

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102 01/02/1992 01/01/2022 ALS/N [email protected] (352) 334-5075 (352) 334-2585 Michael Steele, District Chief Gainesville Fire Rescue - Lic #102

Gainesville FL 1026 Ne 14Th St Alachua 32601

2101 03/11/1994 03/10/2020 ALS/T [email protected] (386) 935-5400 (386) 935-0294 James Campbell, Chief Gilchrist County Emergency Medical Services - Lic #2101

Bell FL 3250 N Us Hwy 129 Gilchrist 32619

2201 10/11/1992 10/10/2020 ALS/T [email protected] (863) 946-0566 (863) 946-1920 Robert Jones, Public Safety Director

Glades County Ems - Lic #2201

Moore Haven FL Po Box 1527 Glades 33471

2704 12/14/2009 01/02/2022 AIR/I [email protected] (352) 799-7771 (352) 799-7776 Bart Gray, President Global Jetcare, Inc. - Lic #2704

Brooksville FL 15421 Technology Drive Hernando 34604

9513 12/02/2019 12/01/2021 AIR/I [email protected] (305) 965-3641 Rosaida Gonzalez, Client Relations Dir.

Global Medical Escorts, Llc D/B/A Aeris - Lic #9513

Oakland Park FL 510 Northest 46Th Street Broward 33334

9000 07/31/2018 07/30/2020 BLS/T [email protected] (813) 756-5780 (813) 438-5309 Scott Waxler, Managing Member

Go Logix, Llc - Lic #9000

Valrico FL 2406 East State Road 60 Unit 58

Hillsborough 33594

3603 07/29/1993 08/28/2021 ALS/T [email protected] 239-343-6333 239-343-5680 Mary Kay Silverman Golisano Children'S Hospital Of Sw Florida - Lic #3603

Fort Myers FL 9981 South Healthpark Drive

Lee 33908

4805 06/06/1993 06/05/2021 ALS/T [email protected] (407) 825-3038 (407) 855-6753 John W. Williamson, Ii Fire Chief

Greater Orlando Aviation Authority - Lic #4805

Orlando FL 1 Jeff Fuqua Boulevard Orange 32827

5007 12/16/1993 12/15/2021 ALS/T [email protected] (561) 642-2146 (561) 642-2109 Mark Pure, Fire Chief Greenacres Public Safety - Lic #5007

Greenacres FL 2995 South Jog Road Palm Beach 33467

2301 11/17/1993 11/16/2021 ALS/T [email protected] (850) 229-8002 Jody Daniels, Ems Director Gulf County Emergency Medical Services - Lic #2301

Port Saint Joe FL Po Box 533 Gulf 32457

2401 10/08/1992 10/07/2020 ALS/T [email protected] (386) 792-6447 (386) 792-6626 Mr. Toby Witt, Ems Director Hamilton County Ambulance Service - Lic #2401

Jasper FL 902 Nw Us Hwy 41 Hamilton 32052

2501 11/30/1992 12/05/2020 ALS/T [email protected] (863) 773-4362 (863) 773-3827 Joseph Walker, Fire Chief Hardee County Fire Rescue - Lic #2501

Wauchula FL 149 K. D. Revell Rd Hardee 33873

5104 03/26/1993 03/25/2021 ALS/T [email protected] 727-869-5414 727-869-5491 Sharon Hayes, Ceo Hca Health Services Of Fl, Inc. Dba Regional Medical Ctr Bayonet - Lic #5104

Hudson FL 14000 Fivay Rd Pasco 34667

2601 01/17/1992 01/16/2022 ALS/T [email protected] (863) 674-5412 (863) 612-0723 Amy Perez, Operations Chief

Hendry County Emergency Services - Lic #2601

La Belle FL Po Box 2340 Hendry 33975

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2703 09/12/2000 09/11/2020 ALS/T [email protected] (352) 540-4353 (352) 540-4355 Scott V. Hechler, Chief Hernando County Fire And Rescue District - Lic #2703

Brooksville FL 60 Veterans Ave Hernando 34601

1307 06/13/1993 06/12/2021 ALS/T [email protected] 305-883-6900 305-883-6982 Emmanuel Louis, Rescue Chief

Hialeah Fire Rescue Department, City Of - Lic #1307

Hialeah FL 83 East 5Th Street Miami-Dade 33010

10018 11/14/2019 11/13/2021 ALS/N [email protected] (386) 454-2056 (386) 454-5805 Bruce Gillingham, Fire Chief High Springs Fire Department - Lic #10018

High Springs FL 18586 Nw 238Th Street Alachua 32643

2801 09/05/1992 09/04/2020 ALS/T [email protected] (863) 402-6630 (863) 402-6793 Dustin Fitch, Acting Ems Manager

Highlands County Ems - Lic #2801

Sebring FL 7205 South George Blvd. Highlands 33875-5847

2906 01/16/1992 01/16/2022 ALS/T [email protected] 813-272-6600 813-272-6692 Dennis Jones, Fire Chief Hillsborough County Fire Rescue - Lic #2906

Tampa FL 9450 Columbus Drive Hillsborough 33619

612 02/22/1993 02/21/2021 ALS/T [email protected] (954) 967-4248 (954) 967-4542 Andy Garcia, Division Chief Hollywood Fire Rescue & Beach Safety Department - Lic #612

Hollywood FL 2741 Stirling Rd Broward 33312

3001 10/03/1992 04/02/2021 ALS/T [email protected] (850) 547-4671 (850) 547-9896 Steve Connell, Director Holmes County Ems - Lic #3001

Bonifay FL Po Box 668 Holmes 32425

506 08/27/1993 08/26/2021 AIR/IP [email protected] (321) 751-0431 (321) 751-6037 David Rodriguez-Wells, Supervisor

Holmes Regional Medical Center First Flight - Lic #506

Melbourne FL 1377 General Aviation Drive Hangar #18

Brevard 32901

3101 02/01/1993 01/31/2021 ALS/T [email protected] (727) 226-3900 (727) 978-1820 Tad Stone, Fire Chief Indian River County, Department Of Emergency Services - Lic #3101

Vero Beach FL 4225 43Rd Ave Indian River 32967

3103 10/01/1992 03/30/2021 ALS/T [email protected] (772) 231-2451 (772) 231-2444 Rich Rosell, Chief Indian River Shores, Department Of Public Safety - Lic #3103

Indian River Shores

FL 6001 N A1A Highway Indian River 32963

3610 09/26/2008 09/25/2020 ALS/N [email protected] 239-433-0660 239-425-9301 Joel A. Guzman, Div. Chief Of Training

Iona Mcgregor Fire District - Lic #3610

Fort Myers FL 6061 South Pointe Blvd. Lee 33908

4406 01/29/2010 09/30/2021 ALS/T [email protected] 305-664-6490 305-852-5195 Seth Lawless, Manager Islamorada Village Of Islands Fire Rescue - Lic #4406

Islamorada FL 86800 Overseas Highway 1St Floor

Monroe 33036

3202 04/22/1993 04/21/2021 ALS/T [email protected] 850-718-0000 850-718-0048 Charles Brunner, Fire Chief Jackson County Fire And Rescue Unit - Lic #3202

Marianna FL 2819 Panhandle Road Jackson 32446

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1605 03/16/1993 03/15/2021 ALS/T [email protected] (904) 630-7055 (904) 630-4660 David Castleman, Division Chief Of Rescu

Jacksonville Fire And Rescue Department, City Of - Lic #1605

Jacksonville FL 515 North Julia St Duval 32202

3301 10/02/1996 03/24/2021 ALS/T [email protected] (850) 342-0182 (850) 342-0181 Derrick Burrus, Chief Jefferson County Fire/Rescue Service - Lic #3301

Monticello FL 57 Martin Road Jefferson 32344

5109 12/02/2015 12/01/2021 ALS/T [email protected] 727-767-4333 727-767-7337 Julie Bacon, Program Manager

Johns Hopkins All Children'S - Lic #5109

Saint Petersburg FL 501 6Th Avenue South Pinellas 33701

10005 05/16/2018 05/15/2020 ALS/T [email protected] (239) 682-8907 (239) 431-9646 Brad Cohen, Director Of Operations

Just Like Family Concierge Medical Transport - Lic #10005

Naples FL 1061 Collier Center Way Suite 1

Collier 34109

507 09/09/1992 09/08/2020 ALS/T [email protected] (321) 861-5656 (321) 861-2520 Michael J. Hayes, Ems Manager

Kennedy Space Center Ems System - Lic #507

Kennedy Space Center

FL Bldg. J6-2465/Cs3-322 Brevard 32899

4402 05/31/1993 05/30/2021 ALS/T [email protected] 305-451-2766 305-451-6211 Chief Don Bock Key Largo Volunteer Ambulance Corps., Inc. - Lic #4402

Key Largo FL 98600 Overseas Hwy Monroe 33037

10013 01/15/2019 01/14/2021 ALS/T [email protected] (904) 651-6533 Marshiray Griffin, Manager Kindred Care Ems - Lic #10013

Jacksonville FL 1736 Silver Street Duval 32208

4901 10/01/1993 09/30/2021 ALS/T [email protected] 407-518-2222 407-933-8604 Karen L Hunter, Health & Safety Chief

Kissimmee Fire Department - Lic #4901

Kissimmee FL 101 Church Street Suite 200

Osceola 34741

3401 03/08/1994 06/30/2021 ALS/T [email protected] 386-294-1633 386-294-4242 Mr. Marty Tompkins Lafayette County Rescue - Lic #3401

Mayo FL P.O. Box 236 Lafayette 32066

10007 07/23/2018 07/22/2020 ALS/T [email protected] 352-383-4554 352-735-4475 Gerald "Jerry" Smith Ii Lake County Bcc Office Of Ems - Lic #10007

Tavares FL 7800 P. O. Box Lake 32778

5909 08/01/1998 07/31/2020 ALS/T [email protected]; [email protected] (407) 585-1480 (407) 585-1491 Dan Keogh, Ems Battalion Chief

Lake Mary Fire Department - Lic #5909

Lake Mary FL 911 Wallace Court Seminole 32746

630 08/16/1995 08/15/2021 ALS/T [email protected] (954) 730-2950 (954) 730-2954 Charles Faranda, City Manager

Lauderhill Fire Rescue Department, City Of - Lic #630

Lauderhill FL 1980 Nw 56Th Ave Broward 33313

5211 08/23/1993 08/25/2021 ALS/N [email protected] (727) 526-5659 (727) 525-9657 Randy Keirn, District Chief Lealman Special Fire Control District - Lic #5211

Saint Petersburg FL 4360 55Th Avenue North Pinellas 33714

3602 04/11/1993 04/10/2021 ALS/T [email protected] 239-533-3961 239-485-2626 Benjamin Abes Or Douglas Higgins

Lee County Emergency Medical Service - Lic #3602

Fort Myers FL Po Box 398 Lee 33901

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3604 05/27/1993 05/26/2021 ALS/T [email protected] 239-303-5300 239-369-2436 Rodolfo Naranjo, Asst. Fire Chief

Lehigh Acres Fire Control And Rescue District - Lic #3604

Lehigh Acres FL 636 Thomas Sherwin Avenue South

Lee 33974

3703 12/31/2003 12/30/2021 ALS/T [email protected] (850) 606-2100 (850) 606-2101 Chief Chad Abrams Leon County Emergency Medical Services - Lic #3703

Tallahassee FL 911 Easterwood Drive Leon 32311

4206 08/07/2014 08/06/2020 BLS/T [email protected] 352-732-6484 352-369-6077 Mr. Tracy Lefevre Leopard Medical Transport, Inc. - Lic #4206

Ocala FL Po Box 3276 Marion 34478

3802 11/30/1992 12/14/2020 ALS/T [email protected] 352-486-5209 352-486-5401 James "Mitch" Harrell, Director

Levy County Department Of Public Safety A/K/A Ems Dept. - Lic #3802

Bronson FL P.O. Box 448 Levy 32621-0448

1606 05/24/1992 05/23/2020 ALS/T [email protected] (904)721-0008 (904)724-0226 Wayne Cain, Director Liberty Ambulance Service, Inc. - Lic #1606

Jacksonville FL 1626 Atlantic University Cir.

Duval 32207

3901 04/26/1999 04/25/2021 ALS/T [email protected] 850-447-0209 850-643-2866 Melissa Peddie, Ems Director

Liberty County Ambulance - Lic #3901

Bristol FL P.O. Box 399 Liberty 32321

2919 11/03/1997 11/02/2021 ALS/T [email protected] 813-885-3955 813-441-8169 Terence Ramotar, Regional Director

Lifefleet Southeast Inc. Dba American Medical Response - Lic #2919

Tampa FL 4531 Oak Fair Blvd Hillsborough 33610

305 04/04/2014 04/03/2020 ALS/T [email protected] (850) 392-1620 (850) 392-1623 Mr. James "Chip" Roberts, Manager

Lifeguard Ambulance Service Of Fl, Llc-Bay County - Lic #305

Panama City FL 1430 Harrison Ave Bay 32401

1710 04/07/2014 04/06/2022 ALS/T [email protected] (850) 983-3000 (850) 626-0076 Dwayne Tullos, Director Of Operations

Lifeguard Ambulance Service Of Fl, Llc-Santa Rosa County - Lic #1710

Milton FL 4340 Avalon Blvd Santa Rosa 32583

641 01/20/1997 01/19/2021 ALS/T [email protected] (954) 941-2624 (954) 784-3400 Shawn Gilmartin, Fire Chief Lighthouse Point Fire Rescue, City Of - Lic #641

Lighthouse Point FL 3740 Ne 22 Ave Broward 33064

806 10/11/2010 10/10/2020 ALS/N [email protected] (941) 270-7607 (941) 698-4700 William Underhill, Fire Chief Little Gasparilla Fire And Rescue, Inc. - Lic #806

Placida FL Po Box 854 Charlotte 33946

4101 01/23/1993 07/22/2021 ALS/T [email protected] 941-316-1944 941-316-1946 Chief Paul Dezzi, Fire Chief Longboat Key Fire Rescue - Lic #4101

Longboat Key FL 5490 Gulf Of Mexico Drive Manatee 34228

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5903 04/29/1993 07/30/2020 ALS/T [email protected] (407) 260-3490 (407) 260-3443 Michael A. Peters, Fire Chief Longwood Fire Department - Lic #5903

Longwood FL 205 South Milwee Street Seminole 32750

4001 02/04/1993 02/03/2021 ALS/T [email protected] 850-973-1494 850-973-4157 Charles Clayton, Fire Chief Madison County Fire Rescue - Lic #4001

Madison FL P.O. Box 539 Madison 32341

4806 07/25/1993 07/24/2021 ALS/T [email protected], [email protected]

(407) 539-6229 (407) 599-0858 Will Watts, Chief Maitland Fire Rescue Department - Lic #4806

Maitland FL 1776 Independence Lane Orange 32751

4102 04/28/1993 04/27/2021 ALS/T [email protected] 941-749-3500 941-749-3568 James Crutchfield, Ems Chief

Manatee County Department Of Public Safety - Lic #4102

Bradenton FL P.O. Box 1000 Manatee 34203

616 07/25/1993 07/24/2021 ALS/T [email protected] (954) 971-7010 (954) 971-4561 Roberto Lorenzo, Chief Margate Fire Rescue - Lic #616

Margate FL 1811 Banks Rd Broward 33063

4204 12/14/1994 12/13/2020 ALS/T [email protected] 352-291-8000 352-291-8036 James Banta, Fire Chief Marion County Fire Rescue Service - Lic #4204

Ocala FL 2631 Se 3Rd St Marion 34471

4304 12/19/1992 12/18/2020 ALS/T [email protected] 772-288-5710 772-221-1457 Heather Crary, Bureau Chief, Ecs

Martin County Fire Rescue - Lic #4304

Stuart FL 800 Se Monterey Rd Martin 34994

4301 11/20/1992 12/03/2020 ALS/T [email protected] 772-223-6848 772-223-5747 Steve Wolfberg, Director Martin Health System, Advanced Medical Transport - Lic #4301

Stuart FL 2150 Se Salerno Road Suite 108

Martin 34997

10015 08/22/2019 08/21/2021 ALS/T [email protected] (904) 956-2060 Scott Swickard, Nurse Manager

Mayo Clinic Jacksonville Medical Transport - Lic #10015

Jacksonville FL 4500 San Pablo Road South

Duval 32224

10016 09/18/2019 09/17/2021 ALS/T [email protected] (305)779-0505 Victor Rego, Manager Mct Express Dba United Medical Transportation - Lic #10016

Miami FL 2766 Northwest 62 Street Miami-Dade 33147

1328 09/10/2001 09/09/2021 ALS/T [email protected] 305-779-0505 305-779-0491 Mr. Jorge Curbello, General Manager

Mct Express, Inc - Lic #1328

Miami FL 2766 N.W. 62Nd Street Miami-Dade 33147

9505 06/12/2017 06/11/2021 AIR/I [email protected] (786) 619-1268 (800) 868-3518 C/O Carlos Salinas, Ceo/Coo

Med Jets Usa, Inc. D/B/A Jet Rescue - Lic #9505

Boca Raton FL 7777 Glades Road Suite 100

Palm Beach 33434

10020 01/07/2020 01/06/2022 ALS/T [email protected] (727) 849-6849 Mark Postma, President Medfleet, Llc - Lic #10020

New Port Richey FL 5334 Sunset Road Pasco 34652

9507 01/29/2018 01/28/2022 AIR/I [email protected] (813) 404-3274 (727) 290-3789 Joshua Kitner, President Medical Comfort Innovations Pllc Dba Suncoast Medical Transport - Lic #9507

Saint Petersburg FL 540 1St Street Se Pinellas 33701

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9506 01/04/2018 01/03/2022 AIR/I [email protected] (917) 202-8622 (610) 822-5996 Guillermo Tejada, Base Manager

Medical Logistics Management Dba Airevac International - Lic #9506

Ft Lauderdale FL 5901 Nw 24 Way, Hangar B Suite 109

Broward 33309

1325 05/20/1996 05/19/2020 ALS/T [email protected] 305-718-6400 877-226-8011 Isabel Rodriguez, Operations Manager

Medi-Car Ambulance Service, Inc., Dba Amr - Lic #1325

Medley FL 12600 Nw 107 Avenue Miami-Dade 33178

634 07/25/2011 07/31/2021 ALS/T [email protected] (561) 533-5633 (561) 588-4199 Michael Fulton, Manager Medics Ambulance Service, Inc. - Lic #634

Lakeworth FL 1105 Barnett Drive Suite C Broward 33461

9502 03/16/2017 03/15/2021 AIR/IP [email protected] (251) 269-7268 (251) 580-3024 Chad Jones, Program Manager

Med-Trans Corporation D/B/A Medstar Air Care - Lic #9502

Stapleton AL 36276 State Highway 59 Out Of State 36578

9501 07/07/2016 07/06/2020 AIR/I [email protected] (864) 350-6334 (888) 284-2976 Chad Kellum, Program Manager

Med-Trans Corporation Dba Air Med Regional - Lic #9501

Greenville SC 552 Perimeter Road A5 Out Of State 29605

9500 07/01/2016 06/30/2020 AIR/P [email protected] 727-767-4333 727-767-4837 Julie Bacon, Chief Flight Nurse

Med-Trans Corporation Dba Med-Trans West - Lic #9500

Saint Petersburg FL 501 6Th Avenue S. Dept 7340

Pinellas 33701

7010 02/09/2012 02/08/2022 AIR/IP [email protected] 850-529-9135 352-265-7077 Edward Crews, Program Director

Med-Trans Corporation Dba Shandscair - Lic #7010

Denton TX 2200 Westcourt Road Suite 21

Out Of State 76207

1613 01/03/2013 01/02/2021 AIR/IP [email protected] 904-244-4450 904-244-4033 Chad Mcintyre, Program Manager

Med-Trans Corporation Dba Traumaone - Lic #1613

Denton TX 2200 Westcourt Road Out Of State 75067

9503 04/27/2017 04/26/2021 AIR/I [email protected] (770) 963-1412 (770) 962-3253 C/O Mark Chapman, Program Director

Medway Air Ambulance, Llc - Lic #9503

Lawrenceville GA P.O. Box 490907 Out Of State 30049

513 02/08/1999 02/07/2021 ALS/N [email protected] (321) 608-6000 (321) 608-6050 Phil Leitz, Division Chief Ems

Melbourne Fire Department - Lic #513

Melbourne FL 865 W Eau Gallie Blvd Brevard 32935

1314 04/05/1993 04/04/2021 ALS/T [email protected] 305-673-7140 305-673-7257 Chief Robert Bedell-561-504-6950

Miami Beach Fire Rescue Department, City Of - Lic #1314

Miami Beach FL 2300 Pinetree Drive Miami-Dade 33140

1315 12/12/1992 12/11/2020 ALS/T [email protected] 305-416-5400 305-416-5444 Robert Jorge, Asst. Fire Chief

Miami Fire Rescue Department - Lic #1315

Miami FL 1151 Nw 7 Street 3Rd Floor

Miami-Dade 33136

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1312 03/23/1993 03/22/2021 ALS/T [email protected] (786) 331-4402 786-331-4401 Rowan Taylor, Ems Division Chief

Miami-Dade County Fire Rescue Department - Lic #1312

Miami FL 9300 Nw 41 St Miami-Dade 33178

5703 11/22/2004 11/21/2020 ALS/N [email protected] (850) 932-4771 (850) 934-1333 Lou Jones, Battalion Chief Midway Fire District - Lic #5703

Gulf Breeze FL 1322 College Parkway Santa Rosa 32563

618 02/22/1993 02/22/2021 ALS/T [email protected] (954) 602-4812 (954) 430-5313 Robert E. Palmer, Fire Chief Miramar Fire Rescue, City Of - Lic #618

Miramar FL 14801 Sw 27 St Broward 33027

4403 11/09/1993 11/08/2021 ALS/T [email protected] 305-289-6004 305-289-6336 James K. Callahan, Fire Chief/Director

Monroe County Fire Rescue - Lic #4403

Marathon FL 490 63Rd Street Monroe 33050

10009 10/16/2018 10/15/2020 ALS/T [email protected] (843) 284-6331 (843) 633-1329 Scott M. Arthur, Director Mt Medical Florida, Inc. - Lic #10009

Jacksonville FL 6820 Southpoint Parkway Suite 3

Duval 32216

4501 02/01/1993 07/31/2021 ALS/T [email protected] 904-530-6600 904-321-5748 Greg Roland, Assist Fire Chief

Nassau County Fire Rescue Service - Lic #4501

Yulee FL 96160 Nassau Place Nassau 32097

4410 10/10/2011 10/09/2021 ALS/T [email protected] 305-636-5510 305-636-5503 Mr. Roger Forbes National Health Transport, Inc. - Lic #4410

Sweetwater FL 2290 Nw 110Th Avenue Miami-Dade 33172

901 01/03/1993 09/30/2020 ALS/T [email protected] (352) 249-4700 (352) 249-4701 Mr. Michael Hall Nature Coast Ems Foundation, Inc. - Lic #901

Lecanto FL 3876 W Country Hill Dr Citrus 34461

5105 02/01/1999 01/31/2021 ALS/N [email protected] 727-853-1032 727-853-1034 Chief Christopher Fitch New Port Richey Fire Department - Lic #5105

New Port Richey FL 5919 Main Street Pasco 34652

6408 11/08/1994 11/07/2020 ALS/N [email protected] (386) 402-8125 (386) 424-2166 Thomas E. Lee, Ems Coordinator

New Smyrna Beach Fire Rescue - Lic #6408

New Smyrna Beach

FL 210 Sams Avenue Volusia 32168

1105 02/28/2011 02/27/2021 ALS/N [email protected] (239) 597-3222 (239) 597-7082 Eloy Ricardo, Fire Chief North Collier Fire Control And Rescue District - Lic #1105

Naples FL 1885 Veterans Park Dr Collier 34109

638 09/15/1996 07/31/2020 ALS/T [email protected] (954) 720-4315 (954) 979-5982 Rodney Turpel, Fire Chief North Lauderdale Fire Rescue - Lic #638

North Lauderdale FL 6151 Bailey Rd Broward 33068

5802 05/21/1993 05/23/2021 ALS/T [email protected]; [email protected]

(941) 240-8150 (941) 240-8182 Scott Titus, Fire Chief North Port Fire Rescue District - Lic #5802

North Port FL 4980 City Center Boulevard

Sarasota 34286

624 10/28/1992 10/27/2020 ALS/T [email protected] (954) 630-4550 (954) 497-4107 Stephen Krivjanik, Mpa, Cfo Oakland Park Fire Rescue Department - Lic #624

Oakland Park FL 2100 Nw 39Th St Broward 33309

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4202 04/29/1993 04/28/2021 ALS/N [email protected] 352-629-8306 352-629-8507 Ms. Beth Antis Ocala-Fire Rescue Service, City Of - Lic #4202

Ocala FL 3001 Ne 21St Street Marion 34470

4404 06/04/1993 07/08/2021 ALS/T [email protected] 305-367-4357 305-367-3139 Ronald Fell, Fire/Ems Commander

Ocean Reef Public Safety Department - Lic #4404

Key Largo FL 110 Anchor Drive Monroe 33037

4819 01/01/2008 12/31/2021 ALS/T [email protected]; [email protected] (407) 905-3140 (407) 905-3129 Alicia Peiffer, Ems Billing Coordinator

Ocoee Fire Department - Lic #4819

Ocoee FL 563 South Bluford Avenue Orange 34761

4601 06/11/1992 06/10/2020 ALS/T [email protected] 850-651-7150 850-651-7170 Darrell Welborn, Ems Division Chief

Okaloosa County Department Of Public Safety - Lic #4601

Niceville FL 90 College Blvd E Okaloosa 32578

4701 04/22/1993 04/21/2021 ALS/T [email protected] 863-763-5544 863-763-4565 Chief Ralph Franklin Okeechobee County Fire Rescue - Lic #4701

Okeechobee FL 707 Nw 6Th St Okeechobee 34972

6415 08/29/2008 08/28/2020 ALS/N [email protected] (386) 775-5461 (386) 851-7581 Ronnie C. Long, Fire Chief Orange City Fire Department - Lic #6415

Orange City FL 215 North Holly Avenue Volusia 32763

4807 08/18/1993 05/28/2021 ALS/T [email protected] (407) 836-9107 (407) 836-9138 Mike Wajda, Division Chief Orange County Fire Rescue, Ems Bureau - Lic #4807

Winter Park FL P.O. Box 5879 Orange 32793

4809 05/31/1993 05/30/2021 ALS/T [email protected] (407) 246-2135 (407) 316-3627 Dawn Sumter, Assistant Chief

Orlando Fire Department - Lic #4809

Orlando FL 911 South Westmoreland Drive

Orange 32805

4810 04/19/1993 04/19/2021 ALS/T [email protected] (407) 649-7051 (321) 841-6871 Jodi Mcduffie, Nursing Operationsmanager

Orlando Health - Lic #4810

Orlando FL 1414 South Kuhl Avenue Orange 32806

4902 02/18/1993 04/11/2021 ALS/T [email protected] 407-742-7000 407-742-6868 Chief Kevin Kennett Osceola County Fire Rescue - Lic #4902

Kissimmee FL 2586 Partin Settlement Road

Osceola 34744

5904 08/20/1993 07/30/2020 ALS/T [email protected]; [email protected]

(407) 971-5610 (407) 971-5810 Jeff Buchanan, Fire Chief Oviedo Fire Department - Lic #5904

Oviedo FL 400 Alexandria Boulevard Seminole 32766

1709 03/04/2013 03/03/2021 ALS/N [email protected] (850) 994-6884 (850) 994-3683 Robert Whitfield, Fire Chief Pace Fire District - Lic #1709

Pace FL 4773 Pace Patriot Boulevard

Santa Rosa 32571

508 08/26/1992 08/25/2020 ALS/N [email protected] (321) 409-6300 (321) 409-6382 Leslie Hoog, Fire Chief Palm Bay Fire Department, City Of - Lic #508

Palm Bay FL 899 Carlyle Ave Se Brevard 32909

5013 09/05/1992 09/09/2020 ALS/T [email protected] (561) 616-7041 (561) 616-7088 Charlie Coyle, Division Chief Palm Beach County Fire Rescue - Lic #5013

West Palm Beach FL 405 Pike Road Palm Beach 33411

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5014 01/02/1993 07/01/2021 ALS/T [email protected] (561) 227-6433 (561) 838-5408 Sean Baker, Division Chief Palm Beach Fire Rescue - Lic #5014

Palm Beach FL 300 North County Road Palm Beach 33480

5022 01/01/1995 12/31/2020 ALS/T [email protected] (561) 799-4300 (561) 799-4399 Cory Bessette, Division Chief Of Ems

Palm Beach Gardens Fire Rescue - Lic #5022

Palm Beach Gardens

FL 10500 North Military Trail Palm Beach 33410

1802 06/01/2004 05/31/2020 ALS/N [email protected] (386) 986-2300 (386) 986-2305 Matthew Morton, City Manager

Palm Coast Fire Rescue Department, City Of - Lic #1802

Palm Coast FL 1250 Belle Terre Pkwy Flagler 32164

5213 01/14/1993 07/13/2021 ALS/N [email protected] (727) 784-0454 (727) 785-9131 Doug Zimmerman, Chief Of Ems

Palm Harbor Special Fire Control District - Lic #5213

Palm Harbor FL 250 West Lake Road Pinellas 34684

5102 12/20/1993 05/09/2021 ALS/T [email protected] 813-929-2750 813-929-2756 Scott Cassin, Fire Chief Pasco County Fire Rescue - Lic #5102

Land O' Lakes FL 4111 Land O'Lakes Blvd #208

Pasco 34639

621 01/30/1993 01/29/2021 ALS/T [email protected] (954) 499-9600 (954) 517-8432 Ruben Troncoso, Division Rescue Chief

Pembroke Pines Fire Rescue - Lic #621

Pembroke Pines FL 9500 Pines Blvd Bldg B Broward 33024

5220 07/01/1992 06/30/2020 ALS/T [email protected] (727) 582-5750 (727) 582-5759 Craig A. Hare, Director Pinellas County Ems Authority Dba Sunstar - Lic #5220

Largo FL 12490 Ulmerton Road Suite 134

Pinellas 33774

5208 02/28/1993 02/27/2021 ALS/N [email protected] (727) 595-1117 (727) 595-5879 Thomas Michael Burton, Fire Chief

Pinellas Suncoast Special Fire & Rescue District - Lic #5208

Indian Rocks Beach

FL 304 First Street Pinellas 33785

2921 05/21/2007 05/20/2021 ALS/T [email protected] 813-757-9131 813-757-9133 James Maxwell [email protected]

Plant City Fire Rescue - Lic #2921

Plant City FL 604 East Alexander Street Hillsborough 33563

635 02/28/1996 02/27/2022 ALS/T [email protected] (954) 797-2150 (954) 797-2136 Donald W. Todd, Fire Chief Plantation Fire Department, City Of - Lic #635

Plantation FL 550 Nw 65Th Ave Broward 33317

5302 06/16/1993 06/15/2021 ALS/T [email protected] (863) 519-7350 (863) 534-5650 Robert Weech, Fire Chief Polk County Board Of County Commissioners - Lic #5302

Bartow FL P.O. Box 1458 Polk 33831

622 06/29/1995 06/28/2021 ALS/T [email protected] (954) 786-4510 (954) 786-4347 Frank Galgano, Ems Division Chief

Pompano Beach Fire Rescue - Lic #622

Pompano Beach FL 120 Sw 3Rd Street Broward 33060

6413 06/22/2000 06/21/2020 ALS/N [email protected] (386) 322-6720 (386) 304-7628 Daniel Scales, Fire Chief Ponce Inlet Fire Rescue - Lic #6413

Ponce Inlet FL 4680 South Peninsula Drive

Volusia 32127

6406 04/25/1992 04/24/2020 ALS/N [email protected] (386) 506-5902 (386) 756-5405 Kenneth Fustin, Fire Chief Port Orange Department Of Fire Rescue - Lic #6406

Port Orange FL 1090 City Center Boulevard

Volusia 32129

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5603 02/04/1993 02/03/2021 BLS/T [email protected] (772) 335-5433 (772) 878-0771 Mr. Jeff Ross Port St. Lucie Volunteer Ambulance Service - Lic #5603

Port Saint Lucie FL P.O. Box 8026 St.Lucie 34985

2802 10/08/2009 10/07/2021 ALS/T [email protected] (863) 655-0030 (863) 655-0062 Robert Layne, President Positive Mobility, Inc. Dba Positive Medical Transport, Inc. - Lic #2802

Sebring FL 201 Commercial Ct. Highlands 33876

807 02/20/2012 02/19/2022 ALS/N [email protected] (941) 575-5529 (941) 575-5565 Holden Gibbs, Operations Chief

Punta Gorda, City Of - Lic #807

Punta Gorda FL 1410 Tamiami Trail Charlotte 33950

5402 04/11/1993 04/10/2021 ALS/T [email protected] (386) 329-0379 (386) 326-2795 Quin Romay, Chief Putnam County Fire/Ems - Lic #5402

Palatka FL 410 South State Road 19 Putnam 32177

1334 08/01/2011 07/31/2021 ALS/T [email protected] 305-718-6400 877-226-8011 Ms. Isabel Rodriguez Randle-Eastern Amb. Svc., Inc. Dba Medics Ambulance Svc. - Lic #1334

Medley FL 12600 Nw 107 Avenue Miami-Dade 33178

1316 09/03/1993 09/02/2021 ALS/T [email protected] 305-718-6400 877-226-8011 Ms. Isabel Rodriguez Operations Manager

Randle-Eastern Ambulance Service, Inc., Dba Amr - Lic #1316

Medley FL 12600 Nw 107Th Avenue Miami-Dade 33178

10012 12/19/2018 12/18/2020 ALS/T [email protected], [email protected]

(954) 998-1017 C/O Steve Portnov, Coo Rapid Response Medical Transportation - Lic #10012

Davie FL 8330 West State Road 84 Broward 33324

4812 02/22/1993 02/21/2021 ALS/T [email protected] (407) 560-6882 (407) 560-1959 Richard Lepere, Fire Chief Reedy Creek Emergency Services - Lic #4812

Lake Buena Vista FL P.O. Box 10170 Orange 32830

5250 06/23/2016 06/22/2020 BLS/T [email protected] (863) 259-1515 (813) 938-2675 David Hughes, Jr., Manager Reliable Medical Response, Llc - Lic #5250

Winter Haven FL 4212 Hammond Drive Polk 33881

647 03/16/2012 03/15/2022 AIR/I [email protected] (954) 730-9300 (954) 858-8399 Joel Rosales, Medical Qa Manager

Reva, Inc. - Lic #647 Fort Lauderdale FL 2101 West Commercial Boulevard Suite 5100

Broward 33309

517 07/15/2003 07/14/2021 ALS/N [email protected] (321) 221-7540 (321) 634-3592 Stephen Mahaffey, Ems Chief

Rockledge Fire Department, City Of - Lic #517

Rockledge FL 1776 Jack Oates Blvd. Brevard 32955

7003 03/31/2004 03/30/2022 AIR/IP [email protected] (727) 515-8278 (813) 200-1399 Matthew Turner, Area Manager

Rocky Mountain Holdings, L.L.C. - Lic #7003

Tampa FL 5421 Beaumont Center Blvd. Suite 600

Hillsborough 33634

7018 10/02/2015 10/01/2021 AIR/IP [email protected] (813) 743-8313 (813) 200-1399 Matthew Turner, Project Manager

Rocky Mountain Holdings, Llc Dba Bayflite - Lic #7018

Tampa FL 5421 Beaumont Center Blvd. Suite 600

Hillsborough 33634

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3608 09/03/1999 09/02/2021 ALS/N [email protected] 239-267-7525 239-267-7505 Chief Daniel G. Sieber San Carlos Park Fire Protection & Rescue Service District - Lic #3608

Fort Myers FL 19591 Ben Hill Griffin Parkway

Lee 33913

5905 02/01/1993 07/31/2020 ALS/T [email protected] (407) 688-5047 (407) 688-5041 Craig Radzak, Fire Chief Sanford Fire Department - Lic #5905

Sanford FL 1303 William Clark Avenue Seminole 32771

5803 04/30/1993 04/29/2021 ALS/T [email protected] (941) 861-5479 (941) 861-5049 Carson B. Sanders, Division Chief - Ems

Sarasota County Fire Department - Lic #5803

Sarasota FL 1660 Ringling Boulevard, 6Th Floor

Sarasota 34236

510 02/18/1993 02/17/2021 ALS/N [email protected] (321) 773-4404 (321) 773-8199 Jeffrey Dangler, Deputy Chief

Satellite Beach Fire Department - Lic #510

Satellite Beach FL 1390 S Patrick Drive Brevard 32937

5907 07/26/1992 07/25/2020 ALS/T [email protected]; [email protected]

(407) 665-5175 (407) 665-5010 Mark Oakes, Fire Chief Seminole County Ems/Fire Rescue Division - Lic #5907

Sanford FL 150 Eslinger Way Seminole 32773

2603 08/04/2005 08/21/2021 ALS/T [email protected] (954) 966-6300 (954) 983-3784 Donald Dipetrillo, Director/Fire Chief

Seminole Tribe Fire Rescue - Lic #2603

Hollywood FL 3101 State Road 7 Broward 33021

103 01/02/1992 07/01/2020 ALS/T [email protected] (352) 265-7074 (352) 265-7077 Edward Crews, Program Director

Shandscair, Shands Hospital - Lic #103

Gainesville FL Post Office Box 100332 Alachua 32610

7012 08/28/2012 08/27/2020 AIR/I [email protected] 514-497-7000 541-636-0096 Gael Meagher, General Manager

Skyservice Air Ambulance, Inc. - Lic #7012

Dorval QC 9785 Ryan Ave Foreign H9P 1A2

6412 03/02/1999 03/01/2021 ALS/N [email protected] (386) 322-3033 (386) 322-3038 Paul Nelson, Ems Commander

South Daytona Fire Rescue - Lic #6412

South Daytona FL P.O. Box 214960 Volusia 32121

3607 07/05/1999 07/04/2021 ALS/N [email protected] 239-433-0080 239-433-1941 Cindi Gallman South Trail Fire Protection & Rescue Service District - Lic #3607

Fort Myers FL 5531 Halifax Avenue Lee 33912

6602 10/01/2001 09/30/2021 ALS/T [email protected]; [email protected] (850) 267-1298 (850) 267-3294 Ryan Crawford, Fire Chief South Walton Fire District - Lic #6602

Santa Rosa Beach

FL 911 North County Road 393

Walton 32459

10019 12/17/2019 12/16/2021 ALS/N [email protected] (941) 751-7675 (941) 751-7694 Brian Gorski, Fire Chief Southern Manatee Fire & Rescue District - Lic #10019

Sarasota FL Post Office Box 20216 Manatee 34243

4903 09/19/1993 09/18/2021 ALS/T [email protected] 407-957-8486 407-957-8491 Lisa Thompson, Ems Division Chief

St. Cloud Fire Rescue - Lic #4903

St. Cloud FL 900 Minnesota Avenue Osceola 34769

5501 08/09/1993 08/08/2021 ALS/T [email protected] (904) 209-1726 (904) 209-1716 Carl A. Shank, Fire Chief St. Johns County Fire Rescue - Lic #5501

Saint Augustine FL 3657 Gaines Road St.Johns 32084

2909 11/24/1993 05/10/2020 ALS/T [email protected] 813-554-8213 813-870-4174 Mr Gil Leon St. Joseph'S Hospital - Lic #2909

Tampa FL 3001 W. Dr. M L King, Jr. Blvd

Hillsborough 33607

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5604 01/14/1993 07/13/2021 ALS/T [email protected]; [email protected] (772) 621-3400 (772) 621-3602 Nate Spera, Fire Chief St. Lucie County Fire District - Lic #5604

Port St. Lucie FL 5160 Northwest Milner Drive

St.Lucie 34983

3506 08/13/2012 08/12/2020 ALS/N [email protected] (352) 689-4400 (352) 689-4501 Stephen Kennedy, Public Safety Director

Sumter County Fire & Ems - Lic #3506

Wildwood FL 7375 Powell Road Sumter 34785

2910 10/12/1993 10/11/2021 BLS/T [email protected] 813-633-1411 813-642-0541 Marty Gifford, Cfo Sun City Center Emergency Squad #1 - Lic #2910

Sun City Center FL 720 Ray Watson Dr Hillsborough 33573

623 08/12/1993 08/11/2021 ALS/T [email protected] (954) 746-3400 (954) 746-3455 John Mcnamara, Fire Chief Sunrise Fire Rescue, City Of - Lic #623

Sunrise FL 10440 West Oakland Park Blvd

Broward 33351

9511 05/09/2019 05/08/2021 AIR/I [email protected] 480-275-4900 480-621-5940 C/O Andy Arthurs, Vp Of Ems

Survival Flight Inc. - Lic #9511

Mesa AZ 4824 East Baseline Road Suite 101

Out Of State 85206

6101 02/11/1993 02/10/2021 ALS/T [email protected] (386) 364-3404 (386) 364-3488 Eddie Hand, Assistant Chief Suwannee County Fire Rescue - Lic #6101

Live Oak FL 13530 80Th Terrace Suwannee 32060

3704 04/01/2004 03/31/2020 ALS/N [email protected] 850-891-6600 850-891-0841 Michael Hadden, Division Chief

Tallahassee Fire Department, City Of - Lic #3704

Tallahassee FL 911 Easterwood Drive Leon 32311

3701 04/05/1993 04/04/2021 ALS/T [email protected] 850-431-4060 850-431-6122 Jon Antworth Tallahassee Memorial Healthcare, Inc. - Lic #3701

Tallahassee FL 1300 Miccosukee Road Leon 32308

636 02/28/1996 02/27/2022 ALS/T [email protected] (954) 597-3807 (954) 597-3815 Jonathan Frasher, Division Chief

Tamarac Fire Rescue, City Of - Lic #636

Tamarac FL 6000 North Hiatus Rd Broward 33321

2911 05/27/1993 05/26/2021 ALS/T [email protected] 813-274-7005 813-274-7006 Chief Barbara Tripp Tampa Fire Rescue - Lic #2911

Tampa FL 808 East Zack Street Hillsborough 33602

2913 11/15/1993 05/14/2020 ALS/T [email protected]; [email protected]

813-506-6700 813-506-6701 Chief Ian Kemp Temple Terrace Fire Department - Lic #2913

Temple Terrace FL 124 Bullard Parkway Hillsborough 33617

643 10/01/2003 09/30/2021 ALS/T [email protected] (954) 831-8200 (954) 831-8265 Heath Clark, Chief The Sheriff Of Broward County, Florida - Lic #643

Fort Lauderdale FL 2601 W Broward Blvd Broward 33312

10011 12/17/2018 12/16/2020 ALS/N [email protected] (561) 296-3893 C/O Scott Duchene, Ceo Titan International Security - Lic #10011

West Palm Beach FL 1975 Sansbury'S Way Suite 101-102

Palm Beach 33411

514 09/10/1999 09/09/2021 ALS/N [email protected] (321) 567-3801 (321) 383-5703 John Hustoles, Chief Titusville Fire Department, City Of - Lic #514

Titusville FL Po Box 2806 Brevard 32781

516 10/15/2002 10/14/2020 ALS/N [email protected] (321) 723-0366 (321) 984-3867 Tom Flamm, Fire Chief Town Of Indialantic/Indialantic Fire Rescue - Lic #516

Indialantic FL 216 Fourth Ave Brevard 32903

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10014 05/21/2019 05/20/2021 ALS/T [email protected] (904) 278-3014 Alvin Barker, Fire Chief Town Of Orange Park (Orange Park Fire) - Lic #10014

Orange Park FL 2025 Smith Street Clay 32073

2917 09/16/1996 09/16/2020 BLS/T [email protected] 813-969-4907 813-964-1564 Christopher Jones, Sr. Director

Transcare Medical Transportation - Lic #2917

Tampa FL One Crisis Center Plaza Hillsborough 33613

5026 04/28/1999 09/22/2020 AIR/I [email protected] (954) 771-7911 (954) 771-4882 Inger Lisa Skroder, Arnp Trinity Air Ambulance International, Llc - Lic #5026

Fort Lauderdale FL 3535 Galt Ocean Drive Broward 33308

6301 01/02/1993 01/01/2021 ALS/T [email protected] (386) 496-3839 (386) 496-2158 Archie W. Clemons, Director Union County Department Of Emergency Services - Lic #6301

Lake Butler FL P.O. Box 266 Union 32054

5223 05/16/2016 05/15/2020 ALS/N [email protected] (561) 478-9983 (561) 686-7740 Ray Pradines, Chief Of Ems Universal Protection Service, Llc - Lic #5223

West Palm Beach FL 1645 Palm Beach Lakes Boulevard Suite 600

Palm Beach 33401

1332 11/02/2009 11/01/2021 ALS/T [email protected] 305-323-3578 305-669-6519 Mr. Christopher Williams Variety Children'S Hosp. Dba Nicklaus Children'S Hos. - Lic #1332

Miami FL 3100 Sw 62Nd Avenue Miami-Dade 33155

10022 01/23/2020 01/22/2022 ALS/N [email protected] (941) 480-3030 (941) 480-3224 Shawn Carvey, Fire Chief Venice Fire Department - Lic #10022

Venice FL 200 Grove Street North Sarasota 34285

1320 10/05/1993 10/16/2021 ALS/T [email protected] 305-365-8989 305-365-8933 John Gilbert, Manager Village Of Key Biscayne Fire Rescue - Lic #1320

Miami FL 560 Crandon Blvd Miami-Dade 33149

5012 11/19/1992 05/18/2021 ALS/T [email protected] (561) 904-2132 (561) 881-5708 J. D. Armstrong, Fire Chief Village Of North Palm Beach Fire Rescue - Lic #5012

North Palm Beach

FL 560 Us Highway 1 Palm Beach 33408

5021 01/01/1995 12/31/2020 ALS/T [email protected] (561) 768-0550 (561) 768-0693 James Weinand, Village Manager

Village Of Tequesta Fire Rescue - Lic #5021

Tequesta FL 357 Tequesta Drive Palm Beach 33469

3502 10/01/1999 09/30/2021 ALS/N [email protected] (352) 205-8280 (352) 205-8290 Edmund A. Cain, Fire Chief Villages Center Community Development District - Lic #3502

The Villages FL 3035 South Morse Boulevard

Sumter 32163

6501 07/29/1993 07/28/2021 ALS/T [email protected]; [email protected]

(850) 745-8698 (850) 745-8704 Louis Lamarche, Public Safety Director

Wakulla County Fire Rescue - Lic #6501

Crawfordville FL 338 Trice Lane Wakulla 32327

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Page 21: MQA Reports EMS Data Unit Weekly Providers ReportCity Of Clearwater Lic 5204 06/03/202112/04/1992 ALS/N (727) 562- 4334 4328 Scott Ehlers, Chief anthony.tedesco@myclearwater.com #5204

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Iss. Dte Lic # Exp. Dte Type Phone Fax Routine Instructor Email Provider Address City ST County Zip

6701 01/23/1992 01/22/2022 ALS/T [email protected]; [email protected]

(850) 638-9162 (850) 415-6076 Randy Truette, Ems Director Washington County Ambulance Service - Lic #6701

Chipley FL 818 3Rd Street Washington 32428

5609 09/07/2011 09/06/2021 ALS/T [email protected] (772) 398-0845 (772) 233-4287 Mr. Haralambos Barakos, President

We Care Of The Treasure Coast, Inc. - Lic #5609

Port Saint Lucie FL 1971 Southwest Biltmore Street

St.Lucie 34984

1904 02/01/2007 01/31/2021 ALS/T [email protected] (850) 653-8853 (850) 653-1879 Kenneth Gilbert, Ems Department Manager

Weems Hospital Ambulance Service - Lic #1904

Apalachicola FL Po Box 580 Franklin 32329

4103 12/05/1993 06/28/2020 ALS/T [email protected] 941-748-7148 941-748-8520 William D. Thayer, Ems Chief

West Coast-Southern Medical Svcs., Inc. - Lic #4103

Bradenton FL 934 14Th St West Manatee 34205

10002 12/19/2017 12/18/2021 ALS/N [email protected] (941) 761-1555 (941) 795-3250 Ben Rigney, Fire Chief West Manatee Fire And Rescue District - Lic #10002

Bradenton FL Post Office Box 14028 Manatee 34209

5018 12/20/1992 12/19/2020 ALS/T [email protected] (561) 804-4715 (561) 804-4777 Diana Matty, Fire Chief West Palm Beach Fire Rescue - Lic #5018

West Palm Beach FL 500 North Dixie Highway Palm Beach 33401

4818 12/12/2007 12/11/2021 ALS/T [email protected] (407) 877-5175 (407) 656-4017 Brian Matt Mcgrew, Fire Chief

Winter Garden Fire Rescue Department - Lic #4818

Winter Garden FL 1 East Cypress Street Orange 34787

4814 12/19/1992 12/18/2020 ALS/T [email protected] (407) 599-3604 (407) 599-3231 Anthony Braish, Manager Winter Park Fire Rescue - Lic #4814

Winter Park FL 343 West Canton Avenue Orange 32789

2705 05/07/2014 05/06/2020 ALS/T [email protected] (352) 796-2540 (352) 796-2549 Jared Wayt, Director Of Ems Worldwide Aircraft Services Dba Jet I.C.U. - Lic #2705

Brooksville FL 2561 Rescue Way Hernando 34604

5107 10/01/2005 09/30/2021 ALS/N [email protected] 813-780-0035 813-780-0085 Helen Perry, Exec Secretary Zephyrhills Fire Rescue - Lic #5107

Zephyrhills FL 38410 6Th Avenue Pasco 33542

Total: 285

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