{"entity":{"id":12715782,"state":"FL","state_id":"K13706","entity_name":"PROFESSIONAL MEDICAL OF TAMPA BAY, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1988-02-03","filing_year":1988,"business_age_years":38,"principal_address1":"4507 VIEWRIDGE WAY","principal_address2":"P.O. BOX 272299","principal_city":"TAMPA","principal_state":"FL","principal_zip":"33688-9299","principal_country":"","mail_address1":"4507 VIEWRIDGE WAY","mail_address2":"P.O. BOX 272299","mail_city":"TAMPA","mail_state":"FL","mail_zip":"33688-9299","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592867413","jurisdiction":null,"county":null,"last_transaction_date":"08131993","report_year_1":"1992","report_date_1":"07131992","report_year_2":"1992","report_date_2":"07131992","report_year_3":"1991","report_date_3":"05221991","agent_name":"Antonio, III, Duarte ESQ","agent_type":"C","agent_address":"11959 N. FLORIDA AVE","agent_city":"TAMPA","agent_state":"FL","agent_zip":"33612","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 14:05:26","updated_at":"2026-05-09 14:05:26","last_accessed":null,"status_reason":null,"agent_name_raw":"DUARTE, ANTONIO, III, ESQ."},"officers":[{"name":"Judy Keith Sandstrom","first_name":"Judy","last_name":"Sandstrom","title":"Director, Secretary","title_roles":["Director","Secretary"],"title_code":"ds","is_registered_agent":false,"address":"4507 VIEWRIDGE WAY","city":"TAMPA","state":"FL","zip":"","name_raw":"SANDSTROM, JUDY KEITH"},{"name":"Richard Kevin Sandstrom","first_name":"Richard","last_name":"Sandstrom","title":"Director, President, Treasurer","title_roles":["Director","President","Treasurer"],"title_code":"dpt","is_registered_agent":false,"address":"4507 VIEWRIDGE WAY","city":"TAMPA","state":"FL","zip":"","name_raw":"SANDSTROM, RICHARD KEVIN"}],"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/K13706"}