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Get FL Certificate Of Public Convenience And Necessity Or Nonemergency Medical Transportation Service 2012-2024

TRANSPORTATION SERVICE LICENSE Please type. Answer all questions that apply to the level of service to be provided. Attach additional sheets as needed. STATEMENTS AND MATERIALS SUBMITTED W ILL BE SUBJECT TO VERIFICATION. CHECK TYPE OF APPLICATION FOR CLASSIFICATION OF SERVICES New Renewal Class 1 - ALS Rescue Class 2 - ALS Transfer Class 3 - BLS Transport Class 4 - ALS Air Rescue Class 5 - Nonemergency Medical Transportation Service (NEMTS) Wheelchair Wheelchair/Stretcher 1. Na m e of.

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