MQA Reports EMS Data Unit Weekly Providers Report

[Pages:23]-

MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

Aac-Air Amb. Caribbean, Inc. Dba Aeromd - Lic #7016

Advanced Air Ambulance, Corporation - Lic #1301

Adventhealth Ems Lic #4905

Address 8203 Lindbergh Bay

City St Thomas

12360 Sw 132Nd Court, Miami #208

601 East Rollins Street Orlando Suite 161

ST Zip VI 00802

County Foreign

FL 33186-6 Miami-Dade 463

FL 32803 Orange

Adventhealth Flight I - 601 East Rollins Street Orlando

Lic #4804

Mailbox 161

FL 32803

Adventhealth Wesley Chapel - Lic #10006

2600 Bruce B. Downs Boulevard

Wesley Chapel FL 33544

Aerocare Medical Transport System, Inc. - Lic #7019

43W450 U.S. Highway 30

Sugar Grove

IL 60554

Affordable Transport, Inc. - Lic #10001

3706 Dmg Drive

Lakeland

FL 33811

Air Ambulance Network - Lic #808

25591 Technology Boulevard Unit B

Punta Gorda

FL 33950

Air Ambulance Worldwide, Llc - Lic #5231

4311 General Howard Drive

Clearwater

FL 33762

Air Critical Care, Llc Lic #805

25591 Technology Boulevard Unit A

Punta Gorda

FL 33950

Air Medical Charters, Llc - Lic #1333

5955 Ponce De Leon Blvd

Coral Gables

FL 33146

Air Medical Group, Inc. 6650 Professional

Sarasota

- Lic #5810

Parkway West Suite 101

FL 34240

Air Trek, Inc. - Lic #801

28000 A-5 Airport Rd Punta Gorda

FL 33982

Airmed International Llc, - Lic #7014

950 22Nd Street North, Birmingham Suite 800

AL 35203

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

610 Southwest 34Th Street

Fort Lauderdale FL 33315

Orange Pasco Out Of State

Polk Charlotte Pinellas

Charlotte Miami-Dade Sarasota Charlotte Out Of State Broward

Page 1 of 23

Lic # Iss. Dte Exp. Dte Type Phone

Fax

Routine Instructor

7016 10/28/2014 10/27/2022 AIR/I 340-715-7942 888-701-1026 Joyce A. Campbell

Email jcampbell@

1301 03/03/1998 03/02/2022 AIR/I 800-633-3590 305-232-7734 Al Meyreles, Vice President

al@

4905 01/10/1993 08/29/2022 ALS/T (407) 303-5645 (407) 303-1975

4804 02/28/1993 02/27/2023 10006 06/05/2018 06/04/2022 7019 11/30/2015 11/29/2023

AIR/IR (407) 303-5645 (407) 303-1975

ALS/T (813) 929-5646 (813) 929-5803

AIR/I (630) 466-0800 (630) 395-9353

Margot Ververis, Senior Manager

Margot Ververis, Senior Manager C/O Jeffrey A. Bogue, Ems Director Karl Boubouleix, Clinical Ops. Manager

margot.ververis@; chandra.sukhoo@; tles@ margot.ververis@

jeffrey.bogue@

dispatch@; kboubouleix@

10001 01/19/2017 01/18/2023 808 06/04/2014 06/03/2022 5231 02/01/2002 04/26/2022

ALS/T (863) 698-9764 (863) 519-0053

AIR/I (941) 639-9119 (941) 761-5838

AIR/I (727) 781-1198 (727) 786-0897

Michael Coates, Operations Manager Michael Peat, President

Ryan Jones, Sr. Vice President Of Oper.

mcoates@ mike@ rjones@

805 1333

04/28/2010 04/27/2022 01/22/2010 01/21/2024

AIR/I AIR/I

(941) 639-9119 (941) 761-5838

Michael Peat, President

305-661-1515 305-668-3375 Wayne Brackin, President

mike@ mairelys@

5810 801

11/25/2014 11/24/2022 08/23/1993 08/22/2023

AIR/I AIR/I

(877) 400-0463 (877) 400-0463

Joseph Gonzales, Ceo/Director

941-639-7855 941-639-3945 Mr. Dana Carr, Vp

ops@; jgonzales@

dana@

7014 9512

04/14/2014 04/13/2022 10/16/2019 10/15/2023

AIR/I AIR/I

205-443-4840 205-443-4841 Denise Treadwell, President

(954) 533-1585 (954) 533-3242

Mitch Stanaland, Dir. Medical Operations

denise.treadwell@ courtney@; ops@

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

Alachua County Fire Rescue - Lic #101

Allcare Medical Transport, Llc - Lic #10033

Ambitrans Medical Transport, Inc. - Lic #804

Americare Ambulance Service, Inc. - Lic #2922

Ameripro Ems Of Florida, Llc - Lic #10017

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

Aviation West Charters, Llc - Lic #9519

Baker County Fire Rescue - Lic #201

Bay County Emergency Medical Services Division - Lic #304

Blue Sky Aeromedical, Llc - Lic #9513

Boca Grande Fire Control District - Lic #10008

Boca Raton Fire Rescue - Lic #5003

Address Po Box 5038

City Gainesville

4751 East Mooday Blvd. Bunnell Suite 6E

4351 Pinnacle St

Port Charlotte

11301 Us Highway 92 East

4810 Executive Park Court Suite 112

1105 Barnett Drive

Seffner Jacksonville Lake Worth

17851 North 85Th Street Scottsdale Suite 350

1190 West Macclenny Avenue

700 Hwy 2300

Macclenny Southport

1451 Northwest 62Nd Street Suite 300

Post Office Box 532

Fort Lauderdale Boca Grande

6500 Congress Avenue Boca Raton Suite 200

ST Zip FL 32627 FL 32110 FL 33980 FL 33584 FL 32216 FL 33461 AZ 85255 FL 32063 FL 32409

FL 33309 FL 33921 FL 33487

County Alachua Flagler Charlotte Hillsborough Duval Palm Beach Out Of State Baker Bay

Broward Lee Palm Beach

Bonita Springs Fire Control & Rescue - Lic #3606

Bradford County Fire Rescue - Lic #401

27701 Bonita Grande Drive

945-C N Temple Ave

Bonita Springs FL 34135

Starke

FL 32091

Lee Bradford

Page 2 of 23

Lic # Iss. Dte 101 07/25/1993

10033 05/27/2021

Exp. Dte 07/24/2023

05/26/2023

Type Phone

Fax

ALS/T (352) 384-3101 (352) 337-6138

ALS/T (386) 864-7145 (386) 864-7175

Routine Instructor Harold Theus, Fire Chief

Mary Melissa Hogan, Owner

Email hmt@alachuacounty.us

bradley@

804 06/20/1995 06/19/2023 ALS/T (941) 613-6427 (941) 629-7314

Mr. Alan Skavroneck

askavroneck@

2922 06/25/2003 06/24/2023 ALS/T 813-930-0911 866-912-7611 Jeffrey B Youngblood, Ceo jeff@

10017 10/10/2019 10/09/2023 ALS/T (904) 733-6600 (904) 733-6600

5001 05/29/1992 05/28/2022 ALS/T (561) 533-5633 (561) 588-5199

9519 08/25/2021 08/24/2023 AIR/I (877) 264-3570 (844) 404-3948

201 01/22/1992 01/21/2024 ALS/T (904) 259-0229 (904) 259-3923

304 09/10/2013 09/09/2023 ALS/T (850) 248-6077 (850) 248-6078

Marvin Mclellan, Vp Of Florida Operation

Michael Fulton, Manager

marvin@;todd@ameriproe

mike.fulton@

C/O Bambi Pish-Derr,Vp/Clinical Services

B. Trevor Nelson, Fire And Rescue Chief

Daniel Page, Ems Chief

compliance@ trevor.nelson@ dpage@

9513 12/02/2019 12/01/2023 10008 08/24/2018 08/23/2022

AIR/I (561) 386-3386 (877) 328-8660

ALS/N (941) 964-2908 (941) 964-0368

David W. Smith, Dir. Medical Operations

C.W. Blosser, Fire Chief

ops@ bocafire302@

5003 3606

10/29/1992 04/28/2023 03/08/1999 03/07/2023

ALS/T (561) 982-4000 (561) 982-4062

Patrick Bayne, Acting Division Chief

ALS/N 239-949-6200 239-939-6207 Eric Madden, Deputy Chief

pbayne@myboca.us; cashley@ci.boca-raton.fl.us; jbarnes@ci.boca-raton.fl.us

madden@

401 08/09/1993 08/08/2023 ALS/T (904) 966-6911 (904) 966-6171

Allen Parrish, Director

allen_parrish@

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

Brevard County Fire Rescue - Lic #501

Broward Ambulance, Inc., Dba Amr - Lic #606

Calhoun Liberty Hospital Association Lic #703

Cambridge Security Services Corporation Lic #10010

Cape Canaveral Volunteer Fire Department, Inc - Lic #502

Cape Coral Fire Department - Lic #3611

Capital Regional Medical Center Emergency Transport Team - Lic #10030

Captiva Island Fire Control District - Lic #10025

Care Med Transportation, Llc Lic #9001

Ccafs Ems System Lic #519

Century Ambulance Service, Inc. - Lic #1614

Century Ambulance Service, Inc. Dba Century Ems Columbia Co. - Lic #10000

Address 1040 S Florida Ave 2500 Nw 29Th Manor

20382 Nw Pennington Avenue 5100 North Federal Highway Suite 405 8970 Columbia Road

1115 Southeast 9Th Avenue 2626 Capital Medical Blvd.

477 P. O. Box

3510 Kraft Road Suite 200 14650 Mercury Gemini Rd 2110 Herschel Street

2110 Herschel Street

City Rockledge

ST Zip FL 32955

Pompano Beach FL 33069

Blountstown

FL 32424

Fort Lauderdale FL 33308

Cape Canaveral FL 32920

Cape Coral

FL 33991

Tallahassee

FL 32308

Captiva

FL 33924

Naples

FL 34105

Cape Canaveral FL 32925

Jacksonville

FL 32204

Jacksonville

FL 32204

County Brevard Broward Calhoun Broward Brevard

Lee Leon

Lee Collier Brevard Duval Duval

Page 3 of 23

Lic # Iss. Dte 501 12/12/1992

606 05/29/1992

Exp. Dte 12/11/2022

05/28/2022

Type Phone

Fax

ALS/T (321) 633-2056 (321) 633-2057

ALS/T (954) 312-1700 (888) 284-2976

703 03/19/2015 01/30/2024 ALS/T (850) 674-5411 (850) 214-6000

10010 12/13/2018 12/12/2022 ALS/N (954) 320-4407

Routine Instructor

Orlando Dominguez, Ems Assistant Chief Todd Barton

Email stephanie.cotton@

tbarton@

Jacob Shuler, Chief

jacobshuler@

Ethan Lazar, Ceo

jdarcy@

502 01/30/1992 01/29/2024 ALS/N (321) 783-4424 (321) 783-4887

Dave Sargeant

dsargeant@

3611 08/01/2011 07/31/2023 ALS/N 239-242-3613 239-242-3309 Brandon Morris, Battalion Chief

bmorris@

10030 04/26/2021 04/25/2023 ALS/T (850) 325-5017 (850) 325-5198

Kenneth Miley, Lead Paramedic

kenneth.miley@

10025 01/05/2021 01/04/2023 ALS/N 239-472-9494 239-472-0247 Jeff Pawul, Fire Chief

jpawul@

9001 03/13/2020 03/12/2022 BLS/T 239-599-5606 239-599-5607 Nerlyne Saintyl-Agenor, Rn, Ceo

519 1614

10/01/2008 09/30/2022 09/15/2015 09/14/2023

ALS/T (321) 853-9251 (321) 476-5522

ALS/T (904) 356-0835 (904) 361-3063

Thomas M. Smith, Fire Chief

Dudley Lee, Director Of Logistics

10000 09/14/2016 09/13/2022 ALS/T (904) 356-0835 (904) 356-9677

Dudley Lee, Director Of Logistics

nerlyne@ thomas.smith.128.ctr@us.af.mil dudley_lee@ dudley_lee@

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

Charlotte County Fire And Ems Department - Lic #803

Children'S Air Ambulance - Lic #9510

Citrus County Fire Rescue - Lic #10021

City Of Apopka Fire Department - Lic #4803

City Of Boynton Beach Fire Rescue - Lic #5004

City Of Clearwater Lic #5204

City Of Cocoa/Cocoa Fire Department - Lic #518

City Of Daytona Beach Fire Department - Lic #6401

City Of Delray Beach Fire Rescue - Lic #5005

City Of Deltona Fire Department - Lic #6403

City Of Dunedin - Lic #5229

City Of Edgewater Fire Rescue - Lic #6409

City Of Greenacres Fire Rescue - Lic #5007

City Of Gulfport - Lic #5207

Address 26571 Airport Rd

City Punta Gorda

2525 Nw 55Th Court Hangar 55

3600 West Sovereign Path Suite 141 175 East 5Th Street

Fort Lauderdale Lecanto Apopka

2080 High Ridge Road Boynton Beach

1140 Court Street 1740 Dixon Blvd.

Clearwater Cocoa

301 South Beach Street Daytona Beach

501 West Atlantic Avenue

Delray Beach

1685 Providence Boulevard

Deltona

1042 Virginia Street

Dunedin

P.O. Box 100

Edgewater

2995 South Jog Road Greenacres

2401 53Rd Street South Gulfport

ST Zip FL 33982 FL 33309 FL 34461 FL 32703 FL 33426 FL 33756 FL 32922 FL 32114 FL 33444 FL 32725 FL 34698 FL 32132 FL 33467 FL 33707

County Charlotte Broward Citrus Orange Palm Beach Pinellas Brevard Volusia Palm Beach Volusia Pinellas Volusia Palm Beach Pinellas

Lic # Iss. Dte 803 04/29/1993

Exp. Dte 10/28/2023

Type Phone

Fax

ALS/T (941) 833-5600 (941) 833-5630

9510 09/20/2018 09/19/2022 AIR/I (619) 754-6755 (610) 822-5996

10021 01/08/2020 01/07/2024 4803 04/19/1993 04/18/2023

ALS/T (352)527-5406 (352) 527-5404

ALS/T (407) 703-1756 (407) 703-1708

5004 09/05/1992 09/04/2022 ALS/T (561) 742-6337 (561) 742-6334

5204 518

12/04/1992 06/03/2023 03/01/2008 02/28/2022

ALS/N (727) 562-4334 (727) 562-4328

ALS/N (321) 639-7613 (321) 690-6977

6401 07/01/1993 04/28/2023 ALS/N (386) 671-4000 (386) 671-3933

5005 12/03/1992 12/02/2022 ALS/T (561) 243-7440 (561) 243-7461

6403 10/06/1992 10/05/2022 ALS/N (386) 575-6902 (386) 860-7198

5229 6409 5007

06/01/1998 05/31/2022 12/14/1995 12/13/2023 12/16/1993 12/15/2023

ALS/N (727) 298-3093 (727) 298-3104

ALS/N (386) 424-2400 (386) 424-2450

ALS/T (561) 642-2129 (561) 642-2109

5207 08/18/1993 08/17/2023 ALS/N (727) 893-1062 (727) 893-1060

Page 4 of 23

Routine Instructor

Michael Davis, Deputy Chief

Email michael.davis@

Kristite Jacobsen, Base Manager

kjacobsen@

Craig Stevens, Fire Chief

Wilfredo Rivera Sanchez, Ems Div. Chief

craig.stevens@; fireinfo@

wrivera-sanchez@

Phillip Mohorn, Assistant Chief

mohornp@bbfl.us; princej@bbfl.us

Scott Ehlers, Chief

anthony.tedesco@

Tom Redmond, District Chief

tredmond@

Dru Driscoll, Fire Chief

driscolldru@dbfd.us

Sean Gibson, Ems Chief gibson@;

Bill Snyder, Fire Chief

bsnyder@; aclatterbuck@

Jeffrey Parks, Fire Chief

jparks@

Jeffery Lariscy, Fire Chief

Brian Fuller, Acting Fire Chief

jlariscy@; battalion@

bfuller@; mjakubek@

James Marenkovic, Fire Chief

jmarenkovic@mygulfport.us

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

City Of Hialeah Fire Rescue Department Lic #1307

City Of Holly Hill Fire Rescue - Lic #6411

City Of Key West Fire Department - Lic #4413

City Of Largo - Lic #5210

City Of Madeira Beach - Lic #5212

Address 83 East 5Th Street

City Hialeah

1065 Ridgewood Avenue Holly Hill

1499 Kennedy Drive

Key West

201 Highland Avenue 250 Municipal Drive

Largo Madeira Beach

ST Zip FL 33010

FL 32117 FL 33040

FL 33770 FL 33708

County Miami-Dade

Volusia Monroe

Pinellas Pinellas

City Of Marathon Fire Rescue - Lic #4407

City Of Miami Beach Fire Rescue Department - Lic #1314

City Of New Port Richey Fire Department - Lic #5105

City Of Oldsmar - Lic #5230

City Of Ormond Beach - Lic #6410

City Of Pinellas Park Lic #5214

City Of Riviera Beach Fire Rescue - Lic #5016

City Of Safety Harbor Lic #5215

City Of Seminole - Lic #5228

City Of South Pasadena - Lic #5217

8900 Overseas Highway Marathon

FL

2300 Pinetree Drive

Miami Beach

FL

5919 Main Street

New Port Richey FL

225 Pine Avenue North Oldsmar

FL

364 South Atlantic Avenue

Ormond Beach FL

11350 43Rd Street North Pinellas Park

FL

600 West Blue Heron Riviera Beach FL Boulevard

700 Main Street

Safety Harbor FL

9199 113Th Street North Seminole

FL

911 Oleander Way South South Pasadena FL

33050 33140

34652

34677 32176 33762 33404 34695 33772 33707

Monroe Miami-Dade

Pasco

Pinellas Volusia Pinellas Palm Beach Pinellas Pinellas Pinellas

Page 5 of 23

Lic # Iss. Dte Exp. Dte Type Phone

Fax

Routine Instructor

1307 06/13/1993 06/12/2023 ALS/T 305-883-6900 305-883-6982 Willians Guerra, Chief

Email wguerra@

6411 4413

06/06/2016 10/31/2022 01/27/2015 01/26/2023

ALS/N (386) 248-9473 (386) 248-9461

ALS/T 305-809-3795 305-294-6423

James Bland, Fire Chief

Keith Hernandez, Ems Chief

5210 5212

06/07/1993 06/06/2023 08/15/1993 08/14/2023

ALS/N (727) 587-6714 (727) 587-6798

ALS/N (727) 391-9951 (727) 399-9238

Michael Carpenter, Assistant Chief

Robert Daniels, City Manager

4407 04/01/2002 03/31/2024 ALS/T 305-743-5266 305-289-9834 John Johnson, Fire Chief

1314 04/05/1993 04/04/2023 ALS/T 305-673-7130 305-673-7257 Digna Abello, Rescue Division Chief

jbland@

khernandez@cityofkeywest-

mcarpent@; ttokarz@

rdaniels@; cbelk@; teaton@ hendricksa@ci.marathon.fl.us; goodk@ci.marathon.fl.us dignaabello@

5105 02/01/1999 01/31/2023 ALS/N 727-853-1032 727-853-1024 Christopher Fitch, Fire Chief

fitchc@

5230 6410 5214 5016

08/01/1998 05/30/2022 05/01/1998 04/30/2022 10/31/1992 04/30/2023 11/05/1992 05/04/2023

ALS/N (813) 749-1200 (813) 891-6814

ALS/N (386) 676-3255 (386) 676-3564

ALS/N (727) 369-5810 (727) 369-5785

ALS/T (561) 845-4109 (561) 845-4137

5215 5228 5217

04/14/1993 04/04/2023 12/09/1996 12/08/2022 03/24/1993 03/23/2023

ALS/N (727) 724-1573 (727) 724-1569

ALS/N (727) 393-8711 (727) 319-6583

ALS/N (727) 344-1666 (727) 381-4324

Dave Young, Interim Fire Chief Richard Sievers, Fire Chief

Brett Schlatterer, Fire Chief John M. Curd, Fire Chief

dyoung@

firedepartmentadministration@ormondbeach. org ahughes@pinellas-

tmccarthy@

Joshua Saavedra, Fire Captain

William Morelli, Assistant Fire Chief

David Mixson, Fire Chief

jsaavedra@ wmorelli@ firechief@

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

City Of St. Pete Beach - Lic #5218

City Of St. Petersburg - Lic #5219

City Of Stuart Fire Rescue - Lic #4305

City Of Tarpon Springs - Lic #5221

City Of Treasure Island - Lic #5222

Clay County Fire Rescue - Lic #1001

Coastal Care Corp Dba Clevelandclinic Advanced Medical Transport - Lic #4301

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

Cocoa Beach Fire Department - Lic #512

Coconut Creek Fire Rescue - Lic #10035

Collier County Ems Department - Lic #1102

Columbia County Fire Rescue - Lic #10003

Coral Gables Fire Rescue Department Lic #1305

Coral Springs Fire Department, City Of Lic #633

County Of Volusia - Lic #6407

Address 7301 Gulf Boulevard

City St Pete Beach

ST Zip FL 33706

400 Dr. M L King Jr. Street South

Saint Petersburg FL

800 Se Dr. Mar Luther Stuart

FL

King Jr Blvd

444 Huey Avenue South Tarpon Springs FL

33701 34994 34689

180 108Th Avenue

Treasure Island FL 33706

Po Box 1366 P. O. Box 9010

Green Cove Springs

Stuart

FL 32043 FL 34997

486 Gus Hipp Blvd

Rockledge

FL 32955

50 S Orlando Ave

Cocoa Beach

FL 32931

4800 West Copans Road Coconut Creek FL 33063

8075 Lely Cultural Pkwy, Naples Ste 267

FL 34113

P.O. Box 1529

Lake City

FL 32056

2151 Salzedo Street

Coral Gables

FL 33134

2801 Coral Springs Drive Coral Springs FL 33065

3825 Tiger Bay Road Daytona Beach FL 32124

County Pinellas Pinellas Martin Pinellas Pinellas Clay Martin

Brevard

Brevard Broward Collier

Columbia Miami-Dade

Broward

Volusia

Page 6 of 23

Lic # Iss. Dte Exp. Dte 5218 01/23/1993 07/22/2023 5219 01/23/1993 07/22/2023 4305 09/27/1993 09/26/2023 5221 05/06/1993 03/11/2023 5222 12/13/1993 12/12/2023 1001 04/10/1993 04/09/2023 4301 11/20/1992 12/03/2022

Type Phone

Fax

Routine Instructor

ALS/N (727) 363-9207 (727) 549-6453

Adam Poirrier, District Fire Chief

ALS/N (727) 893-7076 (727) 550-0638

Ian Womack, Rescue Division Chief

ALS/T 772-600-1287 772-288-5371 Vincent Felicione, Fire Chief

ALS/N (727) 938-3737 (727) 934-0598

Craig Misener, Deputy Chief

ALS/N (727) 547-4590 (727) 547-4598

William "Trip" Barrs, Fire Chief

ALS/T (904) 284-7703 (904) 284-7144

Jason Boree, Deputy Chief

ALS/T 772-419-2260 772-221-2058 Carmelo Maldonado, Director

Email apoirrier@ ian.womack@ vfelicione@ci.stuart.fl.us cmisener@tsfr.us wbarrs@ jason.boree@ maldonc2@

503 09/30/1992 03/29/2023 ALS/T (321) 631-1448 (321) 632-3005

William D Mccarthy. Ceo/President

512 01/01/1999 12/31/2022 10035 07/21/2021 07/20/2023

ALS/N (321) 868-3330 (321) 868-1203

Ryan Duckworth, Chief

ALS/T (954)973-676 (954)420-5855 Jeffery Gary, Fire Chief

1102 04/19/1993 04/18/2023 ALS/T (239) 252-3740 239-252-3298 Tabatha Butcher, Chief

joe@; billm@

cheryl.lindsey@

ccfradmin@; jgary@ tabathabutcher@

10003 02/21/2018 02/20/2022 1305 01/23/1993 07/22/2023

ALS/N 386-754-7057 386-754-7064 Jeffery Crawford, Fire Rescue Chief

ALS/T 305-460-5568 305-460-5589 Xavier Jones, Division Chief

633 12/14/1995 12/13/2023 ALS/T (954) 344-5934 (954) 344-5933

Michael Mcnally, Chief

6407 08/09/1993 08/08/2023 ALS/T (386) 740-5201 (386) 254-1503

Mark D. Wolcott, Director

jeff_crawford@ xjones@; damador@ mmcnally@

mwolcott@

Florida Department of Health

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MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

County Of Walton, Office Of Sheriff D/B/A Walton County Fire Res - Lic #6601

Courtesy Transport Services, Llc - Lic #5403

Crisis Center Of Tampa Bay Inc. Dba Transcare Medical Transporta - Lic #10039

Critical Air Response Enterprises, Llc Dba Aircare1 - Lic #9516

Critical Care Air, Llc D/B/A Critical Care Medflight - Lic #9517

Dale Aviation Dba Medical Air Rescue Company - Lic #9520

Davie Fire Rescue, The Town Of - Lic #639

Daytona Beach Shores Department Of Public Safety - Lic #6402

Desoto County Fire/Rescue Department - Lic #1402

Dixie County Emergency Medical Services - Lic #1501

East Lake Tarpon Special Fire Control District - Lic #5205

E-Care Ambulance, Inc. - Lic #10032

Address 752 Triple G Road

City

Defuniak Springs

1710 North East 40Th Avenue

Ocala

1 Crisis Center Plaza Tampa

14628 P.O. Box

Albuquerque

P.O. Box 490907

Lawrenceville

3900 Airport Road

Rapid City

6901 Orange Dr

Davie

3050 South Atlantic Avenue

Daytona Beach Shores

122 N Hillsborough Ave Arcadia

Po Box 2009

Cross City

3375 Tarpon Lake Boulevard

2355 Salzedo Street Suite 211

Palm Harbor Coral Gables

ST Zip FL 32433 FL 34470 FL 33613

NM 87191 GA 30049 SD 57703 FL 33314 FL 32118 FL 34266 FL 32628 FL 34685 FL 33134

County Walton Marion Hillsborough

Out Of State Out Of State Out Of State Broward Volusia Desoto Dixie Pinellas Miami-Dade

Page 7 of 23

Lic # Iss. Dte Exp. Dte 6601 12/19/1992 12/18/2022

Type Phone

Fax

Routine Instructor

ALS/T (850) 891-8111 (850) 951-2911 Tim Turner, Battalion Chief Of Ems

Email

turtim@; vautracey@

5403 07/06/2011 07/05/2023 BLS/T 386-336-9515 888-475-1300 Melanie Burger, General Manager

10039 11/09/2021 11/08/2023 ALS/T 813-964-1964 813-968-6079 Christopher C. Jones

melburger@ cjones@

9516 12/22/2020 12/21/2022 AIR/I 877-760-7760 877-773-0155 Denise Waye, President

9517 03/16/2021 03/15/2023 AIR/I (770) 513-9148 (770) 513-0249

9520 12/28/2021 12/27/2023 AIR/I (605) 393-0300 (605) 393-0306

639 09/15/1996 09/14/2022 ALS/T (954) 797-1213 (954) 797-1234

6402 05/20/1993 03/23/2023 ALS/N (386) 763-5333 (386) 763-5341

C/O Mark Chapman, Vp Of Bus. Development

Hubert Maraman, Dir. Medical Operations

Julie Downey, Fire Chief

Stephan Dembinsky, Public Safety Dir.

dwaye@;aguillen@aircareone .com mchapman@

kmaraman@

jdowney@davie-

rbarlow@; jsweeney@

1402 08/01/1992 07/31/2022 ALS/T (863) 993-4842 (863) 993-4844

Chad Jorgensen, Public Safety Chief

c.jorgensen@

1501 10/11/1992 04/10/2023 ALS/T (352) 498-1240 (352) 498-1244

5205 02/26/1993 08/25/2023 ALS/N (727) 784-8668 (727) 474-5830

10032 05/19/2021 05/18/2023 ALS/T (800) 863-7023

Darian Brown, Chief

Michael Porch, Deputy Chief Daer Serrano, Owner

darian.brown@dixie.; matt.ferguson@dixie. mporch@

contact@

Florida Department of Health

-

MQA Reports EMS Data Unit Weekly Providers Report

Processed: 1/27/2022 5:22:36PM

Provider

Ems Team, Llc - Lic #9518

Englewood Area Fire Control District - Lic #10038

Escambia County Public Safety Department - Lic #1703

Estero Fire Rescue Lic #3609

Excelsior Ambulance Service, Inc. - Lic #1615

Express Air Medical Transport, Llc - Lic #5225

Fernandina Beach Fire Department - Lic #4502

First 2 Aid Ems, Inc. Lic #10004

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

Flagler County Fire Rescue - Lic #1801

Florida Keys Ambulance Service, Inc. - Lic #4411

Florida State Hospital Lic #2002

Fort Lauderdale Fire Rescue Department Lic #632

Ft. Myers Beach Fire Control District - Lic #3601

Address 3956 Merlin Drive 516 Paul Morris Drive

6575 North W St

21500 Three Oaks Parkway 173 Southeast Baya Drive 200 2Nd Avenue South Unit #506 204 Ash Street

3700 Commerce Blvd. Suite 150 1 Tampa General Circle

1769 East Moody Blvd #3 Po Box 1259

Po Box 1000, Building 1250 528 Nw 2Nd St

100 Voorhis Street

City Kissimmee Englewood

Pensacola

ST Zip FL 34741 FL 34223

FL 32505

Estero Lake City

FL 33928 FL 32025

Saint Petersburg FL 33701

Fernandina Beach

Kissimmee

Tampa

FL 32034 FL 34741 FL 33606

Bunnell Tavernier

FL 32110 FL 33070

Chattahoochee FL 32324 Ft. Lauderdale FL 33311

Fort Myers Beach

FL 33931

County Osceola Sarasota Escambia

Lee Columbia Pinellas Nassau Osceola Hillsborough

Flagler Monroe Gadsden Broward Lee

Page 8 of 23

Lic # Iss. Dte 9518 06/11/2021

10038 11/05/2021

Exp. Dte 06/10/2023

11/04/2023

Type Phone

Fax

AIR/I 407-946-2364 407-946-2364

ALS/N 941-474-3311 941-473-2600

Routine Instructor

Melissa Kauffman, Director Of Operations Kevin Easton, Fire Chief

Email melissa.kauffman@

1703 12/15/1992 12/14/2022 ALS/T (850) 471-6400 (850) 471-6455

Eric Gilmore, Interim Director

egilmore@

3609 1615

09/01/2000 08/31/2022 09/22/2015 09/20/2023

ALS/N 239-390-8000 239-390-8020

ALS/T (912) 367-0300 (912) 225-1994

Todd Coulter, Chief Of Health/Safety

James Graham, M.D.

coulter@ jgrahammd@

5225 04/18/2013 05/13/2023 AIR/I (800) 304-8094 (866) 596-4830

Ken Fox, Ceo

info@; ken@

4502 09/25/2008 09/24/2022 ALS/T 904-277-7331 904-310-3453 Harvey T. Silcox, Fire Chief

fmurallo@

10004 04/20/2018 04/19/2022 ALS/T 407-777-4322 407-900-2654 Christopher Luczywo, Coo chris@

2905 01/18/1992 01/17/2024 AIR/IR 813-844-7400 813-844-5773 John Visokay, Aeromed Program Director

mmoran@;

1801 4411

03/24/1993 03/23/2023 12/07/2012 12/06/2022

ALS/T (386) 313-4256 (386) 313-4299

Percy Sayles, Deputy Chief

ALS/T 305-414-8136 305-396-5889 Mr. Edward F. Bonilla, Ceo

psayles@ flakeysambulance@

2002 07/29/2005 08/02/2023 BLS/T (850) 663-7644 (850) 663-7116 Michael Hall, Chief

632 12/01/1995 11/30/2023 ALS/T (954) 828-6800 (954) 828-6843

Rhoda Mae Kerr, Fire Chief

3601 04/28/1993 04/27/2023 ALS/T 239-590-4200 239-463-6761 Chief Randy Kraus

michael.hall@ rkerr@ rkraus@

Florida Department of Health

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