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Provider Number # 804 Name of Provider 4351 PINNACLE STREET, PORT CHARLOTTE, FLORIDA 33980 Address has complied with Chapter 401, Florida Statutes, and Chapter 64J-1, Florida Administrative Code, and is authorized to operate as an Advanced Life Support Service subject to any and all limitations specified in the applicable Certificate(s) of Public Convenience and Necessity and/or Mutual Aid Agreements for the County(s) listed below: CHARLOTTE, COLLIER, LEE, SARASOTA & MANATEE County (s) Michael Hall, Section Administrator Emergency Medical Services Florida Department of Health THIS CERTIFICATE EXPIRES ON: 06/19/2025 This certificate shall be posted in the above mentioned establishment Exhibit "B" Packet Pg. 1002 (NOdOO suea;lgwV ioj lemoueN lenuuV : S£L9Z) (Z) lennau011 NOdOO a011100 uol;eollddd pZ-£ZOZ suea;lgwV :;uawt4 co O r LLI W U 0i O O oaX J W D 2 H Q O O O -0 a) dw d w w at U ZCN L0,� _ rn N p o Q w}v) Q m V W _ C p w E o Z ��N oa m 0 Z a W LL 'a W y LU Z wQ? w m z 2 W > > co Eo > CL O zQN Z i U O W O W J M Q m z W (� »= O ~ Z O 2 0 o Q c co Z cn V z 2 w m ~ E D E LL a o U 3 Q C7 = W y < m .m as — H Q: W m Q a)- � Q (/� E � 7 p - .m U ��O �/) Z H J H A 0 L N (D f6 a) Z - w fl. cn V Z N �aa C C �, •� d .w w L L LL z E E a) a) IE N U Q Q 0 p 0 w� O U v F Q.. 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