{"entity":{"id":14642097,"state":"FL","state_id":"M79558","entity_name":"PROVIDENT MEDICAL CLINICS, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1988-05-05","filing_year":1988,"business_age_years":38,"principal_address1":"2775 GARRISON AVE","principal_address2":"","principal_city":"PORT ST. JOE","principal_state":"FL","principal_zip":"32456","principal_country":"US","mail_address1":"P. O. BOX 70 N/A","mail_address2":"","mail_city":"PORT ST. JOE","mail_state":"FL","mail_zip":"32456","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592889164","jurisdiction":null,"county":null,"last_transaction_date":"08231996","report_year_1":"1995","report_date_1":"08111995","report_year_2":"1995","report_date_2":"08111995","report_year_3":"1994","report_date_3":"04291994","agent_name":"Hubert E. Steeley","agent_type":"C","agent_address":"2775 GARRISON AVE","agent_city":"PORT ST. JOE","agent_state":"FL","agent_zip":"32456","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 15:12:23","updated_at":"2026-05-09 15:12:23","last_accessed":null,"status_reason":null,"agent_name_raw":"STEELEY, HUBERT E."},"officers":[{"name":"Carole A. Clark","first_name":"Carole","last_name":"Clark","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"2775 GARRISON AVE","city":"PORT ST. JOE","state":"FL","zip":"","name_raw":"CLARK, CAROLE A."},{"name":"Hubert E. Steeley","first_name":"Hubert","last_name":"Steeley","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":true,"address":"2775 GARRISON AVE","city":"PORT ST. JOE","state":"FL","zip":"","name_raw":"STEELEY, HUBERT E."}],"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/M79558"}