{"entity":{"id":8500104,"state":"FL","state_id":"742913","entity_name":"LAKE-SUMTER MEDICAL SOCIETY, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"05181978","filing_year":1978,"business_age_years":48,"principal_address1":"4709 North Highway 19a","principal_address2":"","principal_city":"Mount Dora","principal_state":"FL","principal_zip":"32757","principal_country":"US","mail_address1":"PO BOX 1578","mail_address2":"","mail_city":"MOUNT DORA","mail_state":"FL","mail_zip":"32756","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"591199336","jurisdiction":null,"county":null,"last_transaction_date":"09222023","report_year_1":"2022","report_date_1":"02092022","report_year_2":"2022","report_date_2":"02092022","report_year_3":"2021","report_date_3":"01132021","agent_name":"Carol Millwater Ryan","agent_type":"P","agent_address":"4709 North Highway 19a","agent_city":"Mount Dora","agent_state":"FL","agent_zip":"32757","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 10:56:28","updated_at":"2026-05-09 10:56:28","last_accessed":null,"status_reason":null,"agent_name_raw":"MILLWATER RYAN      CAROL"},"officers":[{"name":"Shelley Cdr. Glover","first_name":"Shelley","last_name":"Glover","title":"Officer","title_roles":["Officer"],"title_code":"offi","is_registered_agent":false,"address":"PO BOX 1578","city":"MOUNT DORA","state":"FL","zip":"32756","name_raw":"Glover              Shelley       CDr."},{"name":"Samuel Dr. Goss","first_name":"Samuel","last_name":"Goss","title":"Officer","title_roles":["Officer"],"title_code":"offi","is_registered_agent":false,"address":"PO BOX 1578","city":"MOUNT DORA","state":"FL","zip":"32756","name_raw":"Goss                Samuel        Dr."},{"name":"Tera Dr. Jones","first_name":"Tera","last_name":"Jones","title":"Officer","title_roles":["Officer"],"title_code":"offi","is_registered_agent":false,"address":"PO BOX 1578","city":"MOUNT DORA","state":"FL","zip":"32756","name_raw":"Jones               Tera          Dr."},{"name":"Wendy Dr. Lavezzi","first_name":"Wendy","last_name":"Lavezzi","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":false,"address":"P.O. BOX 1578","city":"MOUNT DORA","state":"FL","zip":"32756","name_raw":"LAVEZZI             WENDY         Dr."},{"name":"Carol Millwater","first_name":"Carol","last_name":"Millwater","title":"CEO","title_roles":["CEO"],"title_code":"ceo","is_registered_agent":false,"address":"PO BOX 1578","city":"MOUNT DORA","state":"FL","zip":"32756","name_raw":"MILLWATER           CAROL"},{"name":"Sheyla Dr. Zelaya","first_name":"Sheyla","last_name":"Zelaya","title":"Officer","title_roles":["Officer"],"title_code":"offi","is_registered_agent":false,"address":"P. O. Box 1578","city":"Mount Dora","state":"FL","zip":"32756","name_raw":"Zelaya              Sheyla        Dr."}],"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/742913"}