{"entity":{"id":15868971,"state":"FL","state_id":"602649","entity_name":"WILLIAM R. FAUST M.D. PROFESSIONAL ASSOCIATION","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1970-12-28","filing_year":1970,"business_age_years":56,"principal_address1":"917 W. LINEBAUGH AVE.","principal_address2":"","principal_city":"TAMPA FLA","principal_state":"","principal_zip":"33612","principal_country":"","mail_address1":"917 W. LINEBAUGH AVE.","mail_address2":"","mail_city":"TAMPA FLA","mail_state":"","mail_zip":"33612","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592008772","jurisdiction":null,"county":null,"last_transaction_date":"06061997","report_year_1":"1997","report_date_1":"01221997","report_year_2":"1997","report_date_2":"01221997","report_year_3":"1996","report_date_3":"04151996","agent_name":"William R Faust","agent_type":"C","agent_address":"917 W LINEBAUGH","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":"cordata9.txt","fetched_at":"2026-05-09 15:53:58","updated_at":"2026-05-09 15:53:58","last_accessed":null,"status_reason":null,"agent_name_raw":"FAUST, WILLIAM R"},"officers":[{"name":"William R Faust","first_name":"William","last_name":"Faust","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":true,"address":"917 W LINEBAUGH AVE","city":"TAMPA, FL          00000","state":"","zip":"","name_raw":"FAUST, WILLIAM R"},{"name":"Ronald Seeley","first_name":"Ronald","last_name":"Seeley","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"300 W DR MARTIN LUTHER KING JR BLVD","city":"TAMPA, FLA         00000","state":"","zip":"","name_raw":"SEELEY, RONALD"},{"name":"George Smith","first_name":"George","last_name":"Smith","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"5026 UMBER WAY NORTH","city":"TAMPA, FL          00000","state":"","zip":"","name_raw":"SMITH, GEORGE"}],"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/602649"}