Search → LYNDON SOUTHERN INSURANCE COMPANY
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
LYNDON SOUTHERN INSURANCE COMPANY
INSURANCE COMPANY
License Number:
PCF129690
Status:
First Licensure:
07/24/2006
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
Street Location:
10751 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL 32256-4836
JACKSONVILLE, FL 32256-4836
Mailing:
10751 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL 32256-4836
JACKSONVILLE, FL 32256-4836
Phone:
+1 (800) 888-2738 x7267
Fax:
+1 (904) 350-1069
Email:
bwashington@fortegra.com
| License Type | Start Date | End Date |
|---|---|---|
| INSURANCE COMPANY | 07/24/2006 | 08/10/2026 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| GLENN WESLEY CLARK |
12/13/2019 | PRN57683 | ||
| RYAN DEREK COLLIER |
06/30/2020 | PRN109915 | ||
| MARK ANTHONY COY |
06/26/2020 | PRN153210 | ||
| SHAWN OBRIEN FABORS |
06/26/2020 | PRN226755 | ||
| FIRST INDEMNITY INSURANCE SERVICES INC |
01/30/2019 | AGN76863 | ||
| NATHAN DAVID HUNTER |
08/06/2025 | PRN310120 | ||
| SUSAN L. JOHNSON |
01/31/2020 | PRN103335 | ||
| JAMES M. KELLY |
10/16/2023 | PRN41723 | ||
| LOCKTON AFFINITY LLC |
01/13/2020 | AGN31845 | ||
| PATRICK D. OFARRELL |
01/13/2020 | PRN288322 | ||
| BARBARA PEARL PALMER |
08/01/2010 | PRN41439 | ||
| JEFF D. RHODES |
09/23/2025 | PRN527494 | ||
| ROAMLY INSURANCE GROUP LLC |
10/27/2023 | AGN344961 | ||
| ROCKWOOD PROGRAMS INC |
12/17/2019 | AGN78713 | ||
| DARYLE EDWIN STAFFORD JR |
05/16/2018 | PRN196578 | ||
| DANIEL DWIGHT TORGERSON |
09/23/2025 | PRN527496 | ||
| VERACITY INSURANCE SOLUTIONS LLC |
04/19/2018 | AGN188261 |
Supervised Entity
None.
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| HEALTH | 07/24/2006 | Active | |
| FIRE | 07/24/2006 | Active | |
| ALLIED LINES | 07/24/2006 | Active | |
| INLAND MARINE | 07/24/2006 | Active | |
| OTHER LIABILITY | 07/24/2006 | Active | |
| AUTO PHYS DAMAGE | 07/24/2006 | Active | |
| SURETY | 07/24/2006 | Active | |
| CREDIT | 07/24/2006 | Active |
| Type | Contact |
|---|---|
| PRODUCER LICENSING CONTACT | BREONA WASHINGTON BREONA WASHINGTON 10751 DEERWOOD PARK BLVD STE 200 JACKSONVILLE, FL 32256-4836 Phone: +1 (904) 604-5078 Email: bwashington@fortegra.com |
| SERVICE OF PROCESS | CORPORATE CREATIONS NETWORK INC. MERRILLS WHARF 254 COMMERCIAL ST STE 245 PORTLAND, ME 04101-4899 Phone: +1 (207) 512-2677 Fax: +1 (561) 694-1639 Email: govdocs@corporatecreations.com |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN)
| Phone Number | Type |
|---|---|
| +1 (904) 407-1097 | Office |
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: 10/28/2025 01:24:31 AM
