{"entity":{"id":15392464,"state":"FL","state_id":"496128","entity_name":"KENNETH J. FAUST, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1976-02-01","filing_year":1976,"business_age_years":50,"principal_address1":"401 N. BLVD., WEST","principal_address2":"","principal_city":"LEESBURG","principal_state":"FL","principal_zip":"34748","principal_country":"","mail_address1":"1620S LOVES POINT DR","mail_address2":"","mail_city":"LEESBURG","mail_state":"FL","mail_zip":"34748","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591640395","jurisdiction":null,"county":null,"last_transaction_date":"10161998","report_year_1":"1997","report_date_1":"03191997","report_year_2":"1997","report_date_2":"03191997","report_year_3":"1996","report_date_3":"04221996","agent_name":"Kenneth Faust","agent_type":"C","agent_address":"401 N BLVD W","agent_city":"LEESBURG","agent_state":"FL","agent_zip":"32748","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:38:01","updated_at":"2026-05-09 15:38:01","last_accessed":null,"status_reason":null,"agent_name_raw":"FAUST, KENNETH"},"officers":[{"name":"Kenneth J. Faust","first_name":"Kenneth","last_name":"Faust","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"1620 S. LOVES POINT DR","city":"LEESBURG","state":"FL","zip":"","name_raw":"FAUST, KENNETH 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/496128"}