{"entity":{"id":7656822,"state":"FL","state_id":"H84202","entity_name":"KEITH KAPATKIN, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1985-11-06","filing_year":1985,"business_age_years":41,"principal_address1":"12662 Telecom Dr","principal_address2":"","principal_city":"Tampa","principal_state":"FL","principal_zip":"33637","principal_country":"US","mail_address1":"P.O. Box 3190","mail_address2":"","mail_city":"BRANDON","mail_state":"FL","mail_zip":"33509","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592629547","jurisdiction":null,"county":null,"last_transaction_date":"09252020","report_year_1":"2019","report_date_1":"04242019","report_year_2":"2019","report_date_2":"04242019","report_year_3":"2018","report_date_3":"04242018","agent_name":"Azhar Malik","agent_type":"P","agent_address":"15515 AVOCETVIEW CT","agent_city":"LITHIA","agent_state":"FL","agent_zip":"33547","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata2.txt","fetched_at":"2026-05-09 10:25:46","updated_at":"2026-05-09 10:25:46","last_accessed":null,"status_reason":null,"agent_name_raw":"MALIK               AZHAR"},"officers":[{"name":"Amit A Johnsingh","first_name":"Amit","last_name":"Johnsingh","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"408 S NEWPORT AVE","city":"TAMPA","state":"FL","zip":"33606","name_raw":"Johnsingh           Amit          A"},{"name":"Azhar Malik","first_name":"Azhar","last_name":"Malik","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":true,"address":"15515 AVOCETVIEW COURT","city":"LITHIA","state":"FL","zip":"33547","name_raw":"MALIK               AZHAR"},{"name":"Leslie D Thompson","first_name":"Leslie","last_name":"Thompson","title":"President, Registered Agent, Assistant, Chairman","title_roles":["President","Registered Agent","Assistant","Chairman"],"title_code":"prac","is_registered_agent":false,"address":"P.O. Box 3190","city":"BRANDON","state":"FL","zip":"33509","name_raw":"Thompson            Leslie        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/H84202"}