{"entity":{"id":16881040,"state":"FL","state_id":"604859","entity_name":"KIP G. KELSO, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1973-12-13","filing_year":1973,"business_age_years":53,"principal_address1":"14345 80TH AVENUE","principal_address2":"","principal_city":"SEBASTIAN","principal_state":"FL","principal_zip":"32958","principal_country":"","mail_address1":"14345 80TH AVENUE","mail_address2":"","mail_city":"SEBASTIAN","mail_state":"FL","mail_zip":"32958","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591500060","jurisdiction":null,"county":null,"last_transaction_date":"10191984","report_year_1":"1984","report_date_1":"04021984","report_year_2":"1984","report_date_2":"04021984","report_year_3":"1983","report_date_3":"01171983","agent_name":"Frank M Appleby","agent_type":"C","agent_address":"979 BEACHLAND BLVD","agent_city":"VERO BEACH","agent_state":"FL","agent_zip":"","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 16:26:53","updated_at":"2026-05-09 16:26:53","last_accessed":null,"status_reason":null,"agent_name_raw":"APPLEBY, FRANK M"},"officers":[{"name":"Kip G, Kelso MD","first_name":"Kip","last_name":"Kelso","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"14345 80TH AVENUE","city":"SEBASTIAN","state":"FL","zip":"","name_raw":"KELSO, KIP G, M.D."},{"name":"Walter W, Mccorkle MD","first_name":"Walter","last_name":"Mccorkle","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"2300 5TH AVENUE","city":"VERO BEACH","state":"FL","zip":"","name_raw":"MCCORKLE, WALTER W, M.D."},{"name":"Hugh K, Mccrystal MD","first_name":"Hugh","last_name":"Mccrystal","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"777 37TH STREET","city":"VERO BEACH","state":"FL","zip":"","name_raw":"MCCRYSTAL, HUGH K, 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/604859"}