{"entity":{"id":9682677,"state":"FL","state_id":"N10000009884","entity_name":"CLUB MEDICO, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"2010-10-20","filing_year":2010,"business_age_years":16,"principal_address1":"9104 NW 105TH WAY","principal_address2":"","principal_city":"MEDLEY","principal_state":"FL","principal_zip":"33178","principal_country":"","mail_address1":"9104 NW 105TH WAY","mail_address2":"","mail_city":"MEDLEY","mail_state":"FL","mail_zip":"33178","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"APPLIED FOR","jurisdiction":null,"county":null,"last_transaction_date":"09282012","report_year_1":"2011","report_date_1":"05012011","report_year_2":"2011","report_date_2":"05012011","report_year_3":"","report_date_3":"","agent_name":"Myra P. Mahoney PA","agent_type":"C","agent_address":"3101 N FEDERAL HWY SUITE 401","agent_city":"FT LAUDERDALE","agent_state":"FL","agent_zip":"33306","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 11:42:02","updated_at":"2026-05-09 11:42:02","last_accessed":null,"status_reason":null,"agent_name_raw":"MYRA P. MAHONEY, P.A."},"officers":[{"name":"Kristina Hammonds","first_name":"Kristina","last_name":"Hammonds","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"27768 CARLTON OAKS ST","city":"MURRIETA","state":"CA","zip":"92562","name_raw":"HAMMONDS            KRISTINA"},{"name":"Evelio Ley","first_name":"Evelio","last_name":"Ley","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"9104 NW 105TH WAY","city":"MEDLEY","state":"FL","zip":"33178","name_raw":"LEY                 EVELIO"},{"name":"Juan Carlos Ley","first_name":"Juan","last_name":"Ley","title":"Vice President, President, Director","title_roles":["Vice President","President","Director"],"title_code":"vpd","is_registered_agent":false,"address":"9104 NW 105TH WAY","city":"MEDLEY","state":"FL","zip":"33178","name_raw":"LEY                 JUAN CARLOS"},{"name":"David Rice","first_name":"David","last_name":"Rice","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"4631 WATKINS AVE","city":"SARASOTA","state":"FL","zip":"34233","name_raw":"RICE                DAVID"},{"name":"Melissa K Rice","first_name":"Melissa","last_name":"Rice","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"9104 NW 105TH WAY","city":"MEDLEY","state":"FL","zip":"33178","name_raw":"RICE                MELISSA       K"}],"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/N10000009884"}