{"entity":{"id":14403898,"state":"FL","state_id":"N01847","entity_name":"QUALITY HEALTH PROVIDER, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1984-03-08","filing_year":1984,"business_age_years":42,"principal_address1":"1665 PALM BEACH LAKES BLVD.","principal_address2":"TOWER B - SUITE 404","principal_city":"WEST PALM BEACH","principal_state":"FL","principal_zip":"33401","principal_country":"","mail_address1":"1665 PALM BEACH LAKES BLVD.","mail_address2":"TOWER B - SUITE 404","mail_city":"WEST PALM BEACH","mail_state":"FL","mail_zip":"33401","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592433464","jurisdiction":null,"county":null,"last_transaction_date":"11041988","report_year_1":"1987","report_date_1":"06051987","report_year_2":"1987","report_date_2":"06051987","report_year_3":"1986","report_date_3":"12101986","agent_name":"Nicholas S., Petkas MD","agent_type":"C","agent_address":"1665 PALM BEACH LAKES BOULEVARD","agent_city":"WEST PALM BEACH","agent_state":"FL","agent_zip":"33401","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 15:03:42","updated_at":"2026-05-09 15:03:42","last_accessed":null,"status_reason":null,"agent_name_raw":"PETKAS, NICHOLAS S., M.D."},"officers":[{"name":"Linda I. Ash MD","first_name":"Linda","last_name":"Ash","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"126 J. F. K. CIRCLE","city":"ATLANTIS","state":"FL","zip":"","name_raw":"ASH, LINDA I. MD"},{"name":"Donald, Dewar MD","first_name":"Donald,","last_name":"Dewar","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"2829 10TH AVENUE NORTH","city":"LAKE WORTH","state":"FL","zip":"","name_raw":"DEWAR, DONALD, M.D."},{"name":"Richard, Moore MD","first_name":"Richard,","last_name":"Moore","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"1925 N. FLAGLER DR.","city":"W. PALM BEACH","state":"FL","zip":"","name_raw":"MOORE, RICHARD, M.D."},{"name":"Nicholas, Petkas MD","first_name":"Nicholas,","last_name":"Petkas","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"1509 PROSPERITY FRM RD","city":"LAKE PARK","state":"FL","zip":"","name_raw":"PETKAS, NICHOLAS, M.D."},{"name":"Bonita, Sorenson MD","first_name":"Bonita,","last_name":"Sorenson","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"518 N. FEDERAL HIGHWAY","city":"LAKE WORTH","state":"FL","zip":"","name_raw":"SORENSON, BONITA, M.D."},{"name":"Milton,Jr.,M.D. Tignor","first_name":"Milton,Jr.,M.D.","last_name":"Tignor","title":"Director","title_roles":["Director"],"title_code":"dd","is_registered_agent":false,"address":"1920 PALM BCH LAKES BLVD","city":"W. PALM BEACH","state":"FL","zip":"","name_raw":"TIGNOR, MILTON,JR.,M.D."}],"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/N01847"}