{"entity":{"id":10572445,"state":"FL","state_id":"H87694","entity_name":"DAVID S. BALLESTAS M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"1985-12-03","filing_year":1985,"business_age_years":41,"principal_address1":"2525 HARBOR BLVD","principal_address2":"STE.102","principal_city":"PORT CHARLOTTE","principal_state":"FL","principal_zip":"33952","principal_country":"US","mail_address1":"2525 HARBOR BLVD","mail_address2":"STE.102","mail_city":"PORT CHARLOTTE","mail_state":"FL","mail_zip":"33952","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592627966","jurisdiction":null,"county":null,"last_transaction_date":"12102021","report_year_1":"2025","report_date_1":"04242025","report_year_2":"2025","report_date_2":"04242025","report_year_3":"2024","report_date_3":"04302024","agent_name":"David S. Ballestas","agent_type":"C","agent_address":"2525 HARBOR BLVD","agent_city":"PORT CHARLOTTE","agent_state":"FL","agent_zip":"33952","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 12:26:25","updated_at":"2026-05-09 12:26:25","last_accessed":null,"status_reason":null,"agent_name_raw":"BALLESTAS, DAVID S."},"officers":[{"name":"David S. Ballestas","first_name":"David","last_name":"Ballestas","title":"Director, Registered Agent","title_roles":["Director","Registered Agent"],"title_code":"dr.","is_registered_agent":true,"address":"2525 HARBOR BLVD, STE 102","city":"PORT CHARLOTTE","state":"FL","zip":"","name_raw":"BALLESTAS, DAVID S."},{"name":"Evelia B Ballestas","first_name":"Evelia","last_name":"Ballestas","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"2525 HARBOR BLVD","city":"PORT CHARLOTTE","state":"FL","zip":"33952","name_raw":"Ballestas           Evelia        B"},{"name":"Carolyn Olave-Yousif","first_name":"Carolyn","last_name":"Olave-Yousif","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"2525 HARBOR BLVD","city":"PORT CHARLOTTE","state":"FL","zip":"33952","name_raw":"Olave-Yousif        Carolyn"}],"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/H87694"}