{"entity":{"id":11691871,"state":"FL","state_id":"604415","entity_name":"N. F. FAIN, JR., M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1973-06-12","filing_year":1973,"business_age_years":53,"principal_address1":"500 S RIVER OAK DRIVE","principal_address2":"","principal_city":"INDIALANTIC","principal_state":"FL","principal_zip":"32903","principal_country":"US","mail_address1":"500 S. RIVER OAK DRIVE","mail_address2":"","mail_city":"INDIALANTIC","mail_state":"FL","mail_zip":"32903","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591465231","jurisdiction":null,"county":null,"last_transaction_date":"09261997","report_year_1":"1996","report_date_1":"02281996","report_year_2":"1996","report_date_2":"02281996","report_year_3":"1995","report_date_3":"02031995","agent_name":"N F Fain Jr MD","agent_type":"C","agent_address":"500 S RIVER OAK DRIVE","agent_city":"INDIALANTIC","agent_state":"FL","agent_zip":"32903","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 13:25:07","updated_at":"2026-05-09 13:25:07","last_accessed":null,"status_reason":null,"agent_name_raw":"FAIN JR MD, N F"},"officers":[{"name":"K. M. Jr. Beckman MD","first_name":"K.","last_name":"Beckman","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"511-B HARBOR CITY BLVD.","city":"MELBOURNE","state":"FL","zip":"","name_raw":"BECKMAN, K. M. JR. M.D."},{"name":"N. F. Jr. Fain MD","first_name":"N.","last_name":"Fain","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"500 S RIVER OAK DRIVE","city":"INDIALANTIC","state":"FL","zip":"","name_raw":"FAIN, N. F. JR. M.D."},{"name":"D. W. Mcmillan MD","first_name":"D.","last_name":"Mcmillan","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"1281 S. HICKORY STREET","city":"MELBOURNE","state":"FL","zip":"","name_raw":"MCMILLAN, D. W. 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/604415"}