{"entity":{"id":12642656,"state":"FL","state_id":"N05000000296","entity_name":"FLORIDA WEST COAST SOCIETY OF DERMATOLOGY, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"01102005","filing_year":2005,"business_age_years":21,"principal_address1":"12901 Bruce B Downs Blvd","principal_address2":"MDC 79","principal_city":"TAMPA","principal_state":"FL","principal_zip":"33612","principal_country":"US","mail_address1":"12901 Bruce B Downs Blvd","mail_address2":"MDC 79","mail_city":"TAMPA","mail_state":"FL","mail_zip":"33612","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592446841","jurisdiction":null,"county":null,"last_transaction_date":"04262024","report_year_1":"2023","report_date_1":"01192023","report_year_2":"2023","report_date_2":"01192023","report_year_3":"2022","report_date_3":"04282022","agent_name":"Neil Adr. Fenske","agent_type":"P","agent_address":"12901 Bruce B Downs Blvd","agent_city":"TAMPA","agent_state":"FL","agent_zip":"33612","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 14:03:03","updated_at":"2026-05-09 14:03:03","last_accessed":null,"status_reason":null,"agent_name_raw":"FENSKE              NEIL          ADr."},"officers":[{"name":"Lewis Fdr. Glass","first_name":"Lewis","last_name":"Glass","title":"Treasurer","title_roles":["Treasurer"],"title_code":"trea","is_registered_agent":false,"address":"3701 BAYSHORE BLVD","city":"TAMPA","state":"FL","zip":"33611","name_raw":"GLASS               LEWIS         FDr."},{"name":"John R Hamill","first_name":"John","last_name":"Hamill","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":false,"address":"12029 Cortez Blvd","city":"Brooksville","state":"FL","zip":"33613","name_raw":"HAMILL              JOHN          R"},{"name":"Correa M Lillia","first_name":"Correa","last_name":"Lillia","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"3706 W San Rafael St","city":"TAMPA","state":"FL","zip":"33629","name_raw":"LILLIA              CORREA        M"},{"name":"Michael Scannon","first_name":"Michael","last_name":"Scannon","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"4200 N Armenia Ave","city":"TAMPA","state":"FL","zip":"33607","name_raw":"SCANNON             MICHAEL"}],"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/N05000000296"}