{"entity":{"id":15629940,"state":"FL","state_id":"J36528","entity_name":"MEDPROV, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1986-10-06","filing_year":1986,"business_age_years":40,"principal_address1":"410 N. OFFICE PLAZA","principal_address2":"","principal_city":"TALLAHASSEE","principal_state":"FL","principal_zip":"32301","principal_country":"","mail_address1":"410 N. OFFICE PLAZA","mail_address2":"","mail_city":"TALLAHASSEE","mail_state":"FL","mail_zip":"32301","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592764130","jurisdiction":null,"county":null,"last_transaction_date":"08131993","report_year_1":"1992","report_date_1":"05271992","report_year_2":"1992","report_date_2":"05271992","report_year_3":"1991","report_date_3":"07031991","agent_name":"Rachelle Young","agent_type":"C","agent_address":"11800 SW 273 LANE","agent_city":"HOMESTEAD","agent_state":"FL","agent_zip":"33032","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:45:54","updated_at":"2026-05-09 15:45:54","last_accessed":null,"status_reason":null,"agent_name_raw":"YOUNG, RACHELLE"},"officers":[{"name":"Judith Deitz","first_name":"Judith","last_name":"Deitz","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"21913 SARAH DR.","city":"LAKE VILLA","state":"IL","zip":"","name_raw":"DEITZ, JUDITH"},{"name":"Richard Fixler","first_name":"Richard","last_name":"Fixler","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"826 1/2 18TH AVE. N.","city":"ST. PETERSBURG","state":"FL","zip":"","name_raw":"FIXLER, RICHARD"},{"name":"Karen Fujii","first_name":"Karen","last_name":"Fujii","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2235 SOUTHSIDE BLVD.","city":"JACKSONVILLE","state":"FL","zip":"","name_raw":"FUJII, KAREN"},{"name":"Kathryn Mason","first_name":"Kathryn","last_name":"Mason","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"14645 HARRIS PL","city":"MIAMI LAKES","state":"FL","zip":"","name_raw":"MASON, KATHRYN"},{"name":"Rachelle Young","first_name":"Rachelle","last_name":"Young","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":true,"address":"14645 HARRIS PL","city":"MIAMI LAKES","state":"FL","zip":"","name_raw":"YOUNG, RACHELLE"}],"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/J36528"}