{"entity":{"id":5349296,"state":"FL","state_id":"J96910","entity_name":"MARK L. CIVIN, D.D.S., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"1987-09-02","filing_year":1987,"business_age_years":39,"principal_address1":"5600 PGA BLVD., SUITE 102","principal_address2":"SUITE 102","principal_city":"PALM BEACH GARDENS","principal_state":"FL","principal_zip":"33418","principal_country":"","mail_address1":"5600 PGA BLVD., SUITE 102","mail_address2":"SUITE 102","mail_city":"PALM BEACH GARDENS","mail_state":"FL","mail_zip":"33418","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650016772","jurisdiction":null,"county":null,"last_transaction_date":"10072019","report_year_1":"2026","report_date_1":"01272026","report_year_2":"2026","report_date_2":"01272026","report_year_3":"2025","report_date_3":"04112025","agent_name":"DDS, Mark L. Civin PA","agent_type":"C","agent_address":"5600 PGA BLVD","agent_city":"PALM BCH GDNS","agent_state":"FL","agent_zip":"33418","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 09:04:21","updated_at":"2026-05-09 09:04:21","last_accessed":null,"status_reason":null,"agent_name_raw":"Mark L. Civin, DDS, P.A."},"officers":[{"name":"Mark L., Civin DDS","first_name":"Mark","last_name":"Civin","title":"President, Vice President, Secretary","title_roles":["President","Vice President","Secretary"],"title_code":"pvs","is_registered_agent":false,"address":"5600 P.G.A. BLVD #102","city":"PALM BCH GARDENS","state":"FL","zip":"33418","name_raw":"CIVIN, MARK L., D.D.S."},{"name":"Mark L., Civin DDS","first_name":"Mark","last_name":"Civin","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"5600 P.G.A. BLVD #102","city":"PALM BCH GARDENS","state":"FL","zip":"33418","name_raw":"CIVIN, MARK L., D.D.S."}],"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/J96910"}