{"entity":{"id":12485967,"state":"FL","state_id":"J30786","entity_name":"CLIFFORD A. FAIRBANKS, PSY.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1986-08-28","filing_year":1986,"business_age_years":40,"principal_address1":"900 E. OCEAN BLVD.","principal_address2":"SUITE 253-F","principal_city":"STUART","principal_state":"FL","principal_zip":"34994","principal_country":"","mail_address1":"900 E. OCEAN BLVD.","mail_address2":"SUITE 253-F","mail_city":"STUART","mail_state":"FL","mail_zip":"34994","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592711336","jurisdiction":null,"county":null,"last_transaction_date":"01082003","report_year_1":"2002","report_date_1":"04262002","report_year_2":"2002","report_date_2":"04262002","report_year_3":"2001","report_date_3":"04252001","agent_name":"Gregory G. Keane","agent_type":"C","agent_address":"900 E. OCEAN BLVD., SUITE 244","agent_city":"STUART","agent_state":"FL","agent_zip":"34994","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 13:56:47","updated_at":"2026-05-09 13:56:47","last_accessed":null,"status_reason":null,"agent_name_raw":"KEANE, GREGORY G."},"officers":[{"name":"Clifford A. Fairbanks","first_name":"Clifford","last_name":"Fairbanks","title":"President, Director, Vice President","title_roles":["President","Director","Vice President"],"title_code":"pdv","is_registered_agent":false,"address":"900 E. OCEAN BLVD.","city":"STUART","state":"FL","zip":"","name_raw":"FAIRBANKS, CLIFFORD A."}],"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/J30786"}