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I <br /> "E,rArB 3 573 <br /> STATE OF = FLORIDA <br /> •�OOD WL'C..�• <br /> DEPARTMENT OF HEALTH <br /> BUREAU OF EMERGENCY MEDICAL SERVICES <br /> ADVANCED LIFE SUPPORT LICENSE <br /> This is to certify that FALCK SOUTHEAST II CORY. , DBA AMERICAN AMBULANCE SERVICE <br /> Name of Provider <br /> 6605 NW 74 AVENUE, MIAMI, FL 33166 <br /> Address <br /> has complied with Chapter 401, Florida Statutes, and Chapter 64J-1,Florida Administrative Code, and is authorized to operate as an <br /> Advanced Life Support Service subject to any and all limitations specified in applicable Certificate(s) of Public Convenience and <br /> Necessity for the County(les) listed below: <br /> J3TRANSPORT ❑ NON-TRANSPORT <br /> BROWARD, DADE, INDIAN RIVER, OKEECHOBEE, ST. LUCIE <br /> County(ies) <br /> Chief,*ofEmer <br /> cal Services <br /> 09/10/2012 09/09/2014 <br /> Date. Expires -- <br /> DH Form 1161,March 09 This certificate shall be posted in the above mentioned establishment. <br />