{"entity":{"id":16757441,"state":"FL","state_id":"604529","entity_name":"LAKE WALES MEDICAL WALK-IN CLINIC, P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1973-07-17","filing_year":1973,"business_age_years":53,"principal_address1":"1611 STATE ROAD 60 E","principal_address2":"","principal_city":"LAKE WALES","principal_state":"FL","principal_zip":"33853","principal_country":"US","mail_address1":"1611 STATE ROAD 60 E","mail_address2":"","mail_city":"LAKE WALES","mail_state":"FL","mail_zip":"33853","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591474227","jurisdiction":null,"county":null,"last_transaction_date":"09222017","report_year_1":"2016","report_date_1":"04252016","report_year_2":"2016","report_date_2":"04252016","report_year_3":"2015","report_date_3":"04212015","agent_name":"Francisco J Ancaya","agent_type":"P","agent_address":"2080 HELENA RD","agent_city":"WINTER HAVEN","agent_state":"FL","agent_zip":"33884","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 16:22:48","updated_at":"2026-05-09 16:22:48","last_accessed":null,"status_reason":null,"agent_name_raw":"ANCAYA              FRANCISCO     J"},"officers":[{"name":"Eduvigia T Ancaya","first_name":"Eduvigia","last_name":"Ancaya","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":false,"address":"2937 S ATLANTIC AVE","city":"DAYTONA BEACH SHORES","state":"FL","zip":"32118","name_raw":"ANCAYA              EDUVIGIA      T"},{"name":"Francisco J Ancaya","first_name":"Francisco","last_name":"Ancaya","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"2080 HELENA RD","city":"WINTER HAVEN","state":"FL","zip":"33884","name_raw":"ANCAYA              FRANCISCO     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/604529"}