{"entity":{"id":6042940,"state":"FL","state_id":"604741","entity_name":"WILLIAM S. BAZLEY, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1973-10-10","filing_year":1973,"business_age_years":53,"principal_address1":"3144 BAZLEY ROAD","principal_address2":"","principal_city":"GREEN COVE SPRINGS","principal_state":"FL","principal_zip":"32043","principal_country":"US","mail_address1":"3144 BAZLEY RD","mail_address2":"","mail_city":"GREEN COVE SPRINGS","mail_state":"FL","mail_zip":"32043","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591487242","jurisdiction":null,"county":null,"last_transaction_date":"01032005","report_year_1":"2004","report_date_1":"04162004","report_year_2":"2004","report_date_2":"04162004","report_year_3":"2003","report_date_3":"03042003","agent_name":"William S. Bazley","agent_type":"C","agent_address":"3144 BAZLEY RD","agent_city":"GREEN CV SPGS","agent_state":"FL","agent_zip":"32043","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:31:03","updated_at":"2026-05-09 09:31:03","last_accessed":null,"status_reason":null,"agent_name_raw":"BAZLEY, WILLIAM S."},"officers":[{"name":"William S. Bazley","first_name":"William","last_name":"Bazley","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"3144 BAZLEY ROAD","city":"GREEN COVE SPRINGS","state":"FL","zip":"","name_raw":"BAZLEY, WILLIAM S."},{"name":"William S. Bazley","first_name":"William","last_name":"Bazley","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":true,"address":"3144 BAZLEY ROAD","city":"GREEN COVE SPRINGS","state":"FL","zip":"","name_raw":"BAZLEY, WILLIAM S."},{"name":"Napoleon Leano","first_name":"Napoleon","last_name":"Leano","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2021 KINGSLEY AVE.","city":"ORANGE PARK","state":"FL","zip":"","name_raw":"LEANO, NAPOLEON"},{"name":"W. Raleigh Thompson JR","first_name":"W.","last_name":"Thompson","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2021 KINGSLEY AVE.","city":"ORANGE PARK","state":"FL","zip":"","name_raw":"THOMPSON, W. RALEIGH JR."}],"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/604741"}