{"entity":{"id":4688243,"state":"FL","state_id":"L46910","entity_name":"PREMIER MEDICAL GROUP, P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1990-01-29","filing_year":1990,"business_age_years":36,"principal_address1":"1919 S FEDERAL","principal_address2":"","principal_city":"BOYNTON BEACH","principal_state":"FL","principal_zip":"33435","principal_country":"US","mail_address1":"1919 S FEDERAL","mail_address2":"","mail_city":"BOYNTON BEACH","mail_state":"FL","mail_zip":"33435","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650177538","jurisdiction":null,"county":null,"last_transaction_date":"11251997","report_year_1":"1997","report_date_1":"04021997","report_year_2":"1997","report_date_2":"04021997","report_year_3":"1996","report_date_3":"05011996","agent_name":"Gregory S Weatherford","agent_type":"P","agent_address":"2609 WOOLBRIGHT RD #1","agent_city":"BOYNTON BCH","agent_state":"FL","agent_zip":"33436","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 08:27:27","updated_at":"2026-05-09 08:27:27","last_accessed":null,"status_reason":null,"agent_name_raw":"WEATHERFORD         GREGORY S"},"officers":[{"name":"Zakir Khan","first_name":"Zakir","last_name":"Khan","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"205 N.E. 8TH STREET #208","city":"DELRAY BEACH","state":"FL","zip":"","name_raw":"KHAN, ZAKIR"},{"name":"Nelson Lopez","first_name":"Nelson","last_name":"Lopez","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"2609 WOOLBRIGHT RD","city":"BOYNTON BCH","state":"FL","zip":"","name_raw":"LOPEZ               NELSON"},{"name":"Enrique Lopez-Moscoso","first_name":"Enrique","last_name":"Lopez-Moscoso","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"1300 PARK OF COMMERCE BLVD","city":"DELRAY BCH","state":"FL","zip":"","name_raw":"LOPEZ-MOSCOSO       ENRIQUE"},{"name":"Benedicto San Pedro","first_name":"Benedicto","last_name":"Pedro","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"2925 10TH AVE N #104","city":"LAKE WORTH","state":"FL","zip":"","name_raw":"PEDRO               BENEDICTO SAN"},{"name":"Gregory S Weatherford","first_name":"Gregory","last_name":"Weatherford","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"2609 SW 15TH AVE","city":"BOYNTON BCH","state":"FL","zip":"","name_raw":"WEATHERFORD         GREGORY 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/L46910"}