{"entity":{"id":11466346,"state":"FL","state_id":"604265","entity_name":"JOSE L. CHANG M.D. PA","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"04071973","filing_year":1973,"business_age_years":53,"principal_address1":"1903 N.E. JENSEN BCH BLVD.","principal_address2":"","principal_city":"JENSEN BCH","principal_state":"FL","principal_zip":"34957","principal_country":"","mail_address1":"1903 N.E. JENSEN BCH BLVD.","mail_address2":"","mail_city":"JENSEN BCH","mail_state":"FL","mail_zip":"34957","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591473274","jurisdiction":null,"county":null,"last_transaction_date":"08231996","report_year_1":"1995","report_date_1":"01251995","report_year_2":"1995","report_date_2":"01251995","report_year_3":"1994","report_date_3":"04111994","agent_name":"Jose L. Chang MD","agent_type":"C","agent_address":"BARBARA DR","agent_city":"JENSEN BEACH","agent_state":"FL","agent_zip":"34957","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 13:14:25","updated_at":"2026-05-09 13:14:25","last_accessed":null,"status_reason":null,"agent_name_raw":"CHANG, JOSE L.  M.D."},"officers":[{"name":"Taul A. Burgess","first_name":"Taul","last_name":"Burgess","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"11105 S INDIAN RIVER DR","city":"FT PIERCE","state":"FL","zip":"","name_raw":"BURGESS, TAUL A."},{"name":"Jose L Chang","first_name":"Jose","last_name":"Chang","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"2791 NE PINECREST LAKES BLVD","city":"JENSEN BEACH","state":"FL","zip":"","name_raw":"CHANG, JOSE L"}],"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/604265"}