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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHASTA BALDWIN

ADJUSTER NON-RESIDENT

License Number:
ADN265752
Status:
First Licensure:
03/17/2016
Cancel Date:
None
Renewal Date:
01/01/2026

Mailing:
PONCE DE LEON, FL 32455
Phone:
+1 (904) 316-1694
Fax:
+1 (904) 316-1694
Email:
sbaldwinia@gmail.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 03/17/2016 01/01/2026

Agency

None.

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 03/17/2016 Active
Designated State:
Florida
Authority:
General Lines

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN487408
Status:
First Licensure:
06/22/2024
Cancel Date:
None

Mailing:
PONCE DE LEON, FL 32455
Phone:
+1 (904) 316-1694
Fax:
+1 (904) 316-1694
Email:
sbaldwinia@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/22/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
06/27/2024 PCF86149

Authority

Description Issue Date Termination Date Status
PROPERTY 06/22/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15975285

Other Addresses

Address Type
2611 N HIGHWAY 81
PONCE DE LEON, FL 32455-6327
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: 06/08/2025 06:15:05 AM