{"entity":{"id":10739245,"state":"FL","state_id":"N00000002565","entity_name":"WEST COAST MEDICAL GROUP, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1998-10-08","filing_year":1998,"business_age_years":28,"principal_address1":"1395 S PINELLAS AVE","principal_address2":"","principal_city":"TARPON SPRINGS","principal_state":"FL","principal_zip":"34689","principal_country":"","mail_address1":"1395 S PINELLAS AVE","mail_address2":"","mail_city":"TARPON SPRINGS","mail_state":"FL","mail_zip":"34689","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593537305","jurisdiction":null,"county":null,"last_transaction_date":"10192012","report_year_1":"2012","report_date_1":"03282012","report_year_2":"2012","report_date_2":"03282012","report_year_3":"2011","report_date_3":"04122011","agent_name":"Bruce Bergherm","agent_type":"P","agent_address":"1395 S PINELLAS AVENUE","agent_city":"TARPON SPRINGS","agent_state":"FL","agent_zip":"34689","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 12:36:39","updated_at":"2026-05-09 12:36:39","last_accessed":null,"status_reason":null,"agent_name_raw":"BERGHERM            BRUCE"},"officers":[{"name":"Bruce Bergherm","first_name":"Bruce","last_name":"Bergherm","title":"President, Director, Chairman","title_roles":["President","Director","Chairman"],"title_code":"pdc","is_registered_agent":true,"address":"1395 S PINELLAS AVENUE","city":"TARPON SPRINGS","state":"FL","zip":"34689","name_raw":"BERGHERM            BRUCE"},{"name":"John Harding","first_name":"John","last_name":"Harding","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"3100 EAST FLETCHER AVENUE","city":"TAMPA","state":"FL","zip":"33613","name_raw":"HARDING             JOHN"},{"name":"Michael E Kouskoutis","first_name":"Michael","last_name":"Kouskoutis","title":"Secretary, Treasurer, Director","title_roles":["Secretary","Treasurer","Director"],"title_code":"std","is_registered_agent":false,"address":"623 EAST TARPON AVENUE","city":"TARPON SPRINGS","state":"FL","zip":"34689","name_raw":"KOUSKOUTIS          MICHAEL       E"},{"name":"Nicolas Pavouris","first_name":"Nicolas","last_name":"Pavouris","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1200 S. PINELLAS AVENUE, SUITE 11","city":"TARPON SPRINGS","state":"FL","zip":"34689","name_raw":"PAVOURIS            NICOLAS"},{"name":"Michael Schultz","first_name":"Michael","last_name":"Schultz","title":"Vice President, President, Director","title_roles":["Vice President","President","Director"],"title_code":"vpd","is_registered_agent":false,"address":"2400 BEDFORD ROAD, 4TH FLOOR","city":"ORLANDO","state":"FL","zip":"32803","name_raw":"SCHULTZ             MICHAEL"},{"name":"Roger T Sellew","first_name":"Roger","last_name":"Sellew","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"967 BAYSHORE DRIVE","city":"TARPON SPRINGS","state":"FL","zip":"34689","name_raw":"SELLEW              ROGER         T"}],"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/N00000002565"}