{"entity":{"id":15786835,"state":"FL","state_id":"726869","entity_name":"FAMILY PRACTICE MEDICAL GROUP, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1973-07-05","filing_year":1973,"business_age_years":53,"principal_address1":"625 S.W. 4TH AVE.","principal_address2":"","principal_city":"GAINESVILLE","principal_state":"FL","principal_zip":"32601","principal_country":"","mail_address1":"P.O. BOX 147001","mail_address2":"","mail_city":"GAINESVILLE","mail_state":"FL","mail_zip":"32614","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591460393","jurisdiction":null,"county":null,"last_transaction_date":"12171999","report_year_1":"1999","report_date_1":"02241999","report_year_2":"1999","report_date_2":"02241999","report_year_3":"1998","report_date_3":"02171998","agent_name":"Robert W Jr. Curry MD","agent_type":"C","agent_address":"625 S.W. FOURTH AVE.","agent_city":"GAINESVILLE","agent_state":"FL","agent_zip":"32601","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 15:51:20","updated_at":"2026-05-09 15:51:20","last_accessed":null,"status_reason":null,"agent_name_raw":"CURRY, ROBERT W JR. M.D."},"officers":[{"name":"Thomas Berens","first_name":"Thomas","last_name":"Berens","title":"Director, President, Member","title_roles":["Director","President","Member"],"title_code":"dpm","is_registered_agent":false,"address":"915 NW 56 TERR","city":"GAINESVILLE","state":"FL","zip":"32605","name_raw":"BERENS              THOMAS"},{"name":"Frank Foster MD","first_name":"Frank","last_name":"Foster","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"8110 SW 43RD PLACE","city":"GAINESVILLE","state":"FL","zip":"","name_raw":"FOSTER              FRANK M.D."},{"name":"Karen Hall","first_name":"Karen","last_name":"Hall","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"625 SW 4TH AVE.","city":"GAINESVILLE, FL    00000","state":"","zip":"","name_raw":"HALL                KAREN"},{"name":"Tom Harris","first_name":"Tom","last_name":"Harris","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"601 NE 7TH TERR","city":"GAINESVILLE","state":"FL","zip":"","name_raw":"HARRIS              TOM"},{"name":"Sam N. Holloway","first_name":"Sam","last_name":"Holloway","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"1405 N.W. 13TH STREET","city":"GAINESVILLE","state":"FL","zip":"","name_raw":"HOLLOWAY, SAM N."},{"name":"Lynn Mercandante","first_name":"Lynn","last_name":"Mercandante","title":"pe","title_roles":[],"title_code":"pe","is_registered_agent":false,"address":"801 S W 2ND AVE","city":"GAINESVILLE","state":"FL","zip":"32601","name_raw":"MERCANDANTE         LYNN"}],"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/726869"}