{"entity":{"id":4630419,"state":"FL","state_id":"836760","entity_name":"SOUTHEASTERN MEDICAL SUPPLY, INC.","entity_type":"FORP","entity_type_normalized":"foreign_profit","status":"I","filing_date":"1976-07-28","filing_year":1976,"business_age_years":50,"principal_address1":"1801 NORLAND RD","principal_address2":"PO BOX 18537","principal_city":"CHARLOTTE","principal_state":"NC","principal_zip":"28218","principal_country":"","mail_address1":"1801 NORLAND RD","mail_address2":"PO BOX 18537","mail_city":"CHARLOTTE","mail_state":"NC","mail_zip":"28218","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"560862186","jurisdiction":null,"county":null,"last_transaction_date":"01211985","report_year_1":"1984","report_date_1":"02011984","report_year_2":"1984","report_date_2":"02011984","report_year_3":"1983","report_date_3":"04131983","agent_name":"Agent Revoked Registered","agent_type":"C","agent_address":"1801 NORLAND ROAD","agent_city":"CHARLOTTE","agent_state":"NC","agent_zip":"28218","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 08:24:08","updated_at":"2026-05-09 08:24:08","last_accessed":null,"status_reason":null,"agent_name_raw":"REGISTERED AGENT REVOKED"},"officers":[{"name":"Robert B Walker","first_name":"Robert","last_name":"Walker","title":"Secretary, Treasurer","title_roles":["Secretary","Treasurer"],"title_code":"st","is_registered_agent":false,"address":"3101 TIVERTON PL","city":"CHARLOTTE, NC      00000","state":"","zip":"","name_raw":"WALKER, ROBERT B"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://companies.rootz.global/api/provenance/FL/836760"}