{"entity":{"id":13504691,"state":"FL","state_id":"L29307","entity_name":"PAVILION PROVIDER NETWORK, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1989-11-14","filing_year":1989,"business_age_years":37,"principal_address1":"841 PRUDENTIAL DRIVE","principal_address2":"SUITE 1802","principal_city":"JACKSONVILLE","principal_state":"FL","principal_zip":"32207","principal_country":"US","mail_address1":"841 PRUDENTIAL DRIVE","mail_address2":"SUITE 1802","mail_city":"JACKSONVILLE","mail_state":"FL","mail_zip":"32207","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592993994","jurisdiction":null,"county":null,"last_transaction_date":"04302019","report_year_1":"2014","report_date_1":"04302014","report_year_2":"2014","report_date_2":"04302014","report_year_3":"2013","report_date_3":"04292013","agent_name":"Harvey E Granger","agent_type":"P","agent_address":"841 PRUDENTIAL DRIVE","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32207","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata7.txt","fetched_at":"2026-05-09 14:32:18","updated_at":"2026-05-09 14:32:18","last_accessed":null,"status_reason":null,"agent_name_raw":"GRANGER             HARVEY        E"},"officers":[{"name":"Philip Boyce","first_name":"Philip","last_name":"Boyce","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"841 PRUDENTIAL DRIVE, SUITE 1602","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"BOYCE               PHILIP"},{"name":"Christopher Durkin","first_name":"Christopher","last_name":"Durkin","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"3563 PHILIPS HIGHWAY, BLDG A, STE 106","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"DURKIN              CHRISTOPHER"},{"name":"Harvey Granger","first_name":"Harvey","last_name":"Granger","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"841 PRUDENTIAL DRIVE, SUITE 1802","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"GRANGER             HARVEY"},{"name":"Hugh Green","first_name":"Hugh","last_name":"Green","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"841 PRUDENTIAL DRIVE, SUITE 1601","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"GREEN               HUGH"},{"name":"John F Wilbanks","first_name":"John","last_name":"Wilbanks","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"841 PRUDENTIAL DRIVE, SUITE 1601","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"WILBANKS            JOHN          F"},{"name":"Scott Wooten","first_name":"Scott","last_name":"Wooten","title":"Director, Vice President, Treasurer","title_roles":["Director","Vice President","Treasurer"],"title_code":"dvt","is_registered_agent":false,"address":"841 PRUDENTIAL DRIVE, SUITE 1602","city":"JACKSONVILLE","state":"FL","zip":"32207","name_raw":"Wooten              Scott"}],"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/L29307"}