DEPARTMENT OF INSURANCE

Name	Sports Insurance Services	DOIID	1179425	NAIC NPN	20136602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/2022	3/31/2026
Active	Non Resident	Agent	Life	8/5/2022	3/31/2026
Denied	Non Resident	Managing General Agent	Not Applicable

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	85 Belleview Blvd #405Clearwater, FL 33756

Phone Information

Type	Phone
Business / Home Office	(727) 519-8595