black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AGENCY MARKETING SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN181000
Status:
First Licensure:
09/01/2010
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
9800 4TH ST N STE 400
ST PETERSBURG, FL 33702-2464
Mailing:
101 E WASHINGTON BLVD # 10
FORT WAYNE, IN 46802-3145
Phone:
+1 (888) 747-3692
Fax:
+1 (727) 343-4123
Email:
licensing@doxainsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/01/2010 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED WORLD INSURANCE COMPANY
07/19/2013 PCF54304
ALLIED WORLD SPECIALTY INSURANCE COMPANY
07/19/2013 PCF108064
BERKLEY INSURANCE COMPANY
10/07/2010 PCF166289 01/09/2014
CAROLINA CASUALTY INSURANCE COMPANY
09/29/2010 PCF54 06/07/2012
THE HANOVER INSURANCE COMPANY
12/17/2019 PCF712
RLI INSURANCE COMPANY
10/06/2017 PCF695
STARR INDEMNITY & LIABILITY COMPANY
10/07/2010 PCF1010 08/19/2019

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DEBRA LYNN BACK
10/02/2025 PRN529370
MICHELLE DUFRESNE GUILLON
10/02/2025 PRN529361
THERESA LYN GALENTINE
10/02/2025 PRN529362
DAVID GOUGH
05/23/2024 PRN462559
MICHAEL GREGORY HARRINGTON
10/03/2025 PRN529460

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID GOUGH PRN462559

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1043345

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: 10/21/2025 07:04:13 PM