{"entity":{"id":10100480,"state":"FL","state_id":"493054","entity_name":"MEDICARE SERVICE BUREAU, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1975-12-23","filing_year":1975,"business_age_years":51,"principal_address1":"12998 WALSINGHAM RD.","principal_address2":"","principal_city":"LARGO","principal_state":"FL","principal_zip":"33540","principal_country":"","mail_address1":"12998 WALSINGHAM RD.","mail_address2":"","mail_city":"LARGO","mail_state":"FL","mail_zip":"33540","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591637904","jurisdiction":null,"county":null,"last_transaction_date":"12051979","report_year_1":"1978","report_date_1":"06061978","report_year_2":"1978","report_date_2":"06061978","report_year_3":"1977","report_date_3":"06301977","agent_name":"Thomas R. Markin","agent_type":"C","agent_address":"8894 134ST STREET NORTH","agent_city":"SEMINOLE","agent_state":"FL","agent_zip":"33701","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 11:59:32","updated_at":"2026-05-09 11:59:32","last_accessed":null,"status_reason":null,"agent_name_raw":"MARKIN, THOMAS R."},"officers":[{"name":"C. Norman Culver","first_name":"C.","last_name":"Culver","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"360 13TH AVE NE #11","city":"ST PETERSBURG","state":"FL","zip":"","name_raw":"CULVER, C. NORMAN"},{"name":"Thomas R. Markin","first_name":"Thomas","last_name":"Markin","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":true,"address":"849 ERD AVENUE NORTH","city":"ST. PETERSBURG","state":"FL","zip":"","name_raw":"MARKIN, THOMAS R."},{"name":"Thomas R. Markin","first_name":"Thomas","last_name":"Markin","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"8894 134ST STREET N","city":"SEMINOLE","state":"FL","zip":"","name_raw":"MARKIN, THOMAS R."},{"name":"John Micciche","first_name":"John","last_name":"Micciche","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"2220 US 19 N","city":"CLEARWATER","state":"FL","zip":"","name_raw":"MICCICHE, JOHN"},{"name":"J. Roney","first_name":"J.","last_name":"Roney","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"711 SENERAST","city":"CLEARWATER","state":"FL","zip":"","name_raw":"RONEY, J."}],"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/493054"}