black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PRAXIOM RISK MANAGEMENT LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN200042
Status:
First Licensure:
02/15/2012
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
805 E BLOOMINGDALE AVE PMB 300
BRANDON, FL 33511-8113
Mailing:
805 E BLOOMINGDALE AVE PMB 300
BRANDON, FL 33511-8113
Phone:
+1 (813) 767-2400
Fax:
+1 (813) 767-2400
Email:
dcarothers01@gmail.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/15/2012 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
02/25/2013 PCF366 03/28/2023
AMERICAN ZURICH INSURANCE COMPANY
02/25/2013 PCF914 03/28/2023
BENCHMARK INSURANCE COMPANY
10/13/2020 PCF198652
GREAT MIDWEST INSURANCE COMPANY
10/04/2019 PCF82030
GUARANTEE INSURANCE COMPANY
12/05/2012 PCF855 12/19/2017
IMPERIUM INSURANCE COMPANY
10/04/2019 PCF80207
NEW YORK MARINE AND GENERAL INSURANCE COMPANY
03/03/2020 PCF36395 01/18/2022
SECURITY NATIONAL INSURANCE COMPANY
05/11/2016 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
04/04/2012 PCF136874
WESCO INSURANCE COMPANY
05/11/2016 PCF49735
ZURICH AMERICAN INSURANCE COMPANY
02/25/2013 PCF61397 03/28/2023
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
02/25/2013 PCF165251 03/28/2023

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID EUGENE CAROTHERS
02/15/2012 PRN198847

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID EUGENE CAROTHERS PRN198847

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11456303

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/11/2025 12:58:09 AM