{"entity":{"id":6232037,"state":"FL","state_id":"476801","entity_name":"ROBERT F. BELLER, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1975-05-23","filing_year":1975,"business_age_years":51,"principal_address1":"105 W. WISCONSIN AVE.","principal_address2":"STE 111","principal_city":"DELAND","principal_state":"FL","principal_zip":"32720","principal_country":"US","mail_address1":"P.O. BOX 471","mail_address2":"P.O. BOX 471","mail_city":"DELAND","mail_state":"FL","mail_zip":"32721","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591606726","jurisdiction":null,"county":null,"last_transaction_date":"08261994","report_year_1":"1993","report_date_1":"04301993","report_year_2":"1993","report_date_2":"04301993","report_year_3":"1992","report_date_3":"06291992","agent_name":"Lawrence W. Carroll Jr.","agent_type":"C","agent_address":"24 U.S. HIGHWAY 17-92","agent_city":"CASSELBERRY","agent_state":"FL","agent_zip":"","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:37:30","updated_at":"2026-05-09 09:37:30","last_accessed":null,"status_reason":null,"agent_name_raw":"CARROLL JR., LAWRENCE W."},"officers":[{"name":"Robert F., Beller MD","first_name":"Robert","last_name":"Beller","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"814 OAK TREE TERRACE","city":"DELAND","state":"FL","zip":"","name_raw":"BELLER,ROBERT F., M.D."}],"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://private.rootz.global/api/provenance/FL/476801"}