{"entity":{"id":6519108,"state":"FL","state_id":"N16000005331","entity_name":"PIONEER MEDICAL GROUP CLINIC FOUNDATION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"2016-05-25","filing_year":2016,"business_age_years":10,"principal_address1":"13067 N Telecom Pkwy","principal_address2":"","principal_city":"Tampa","principal_state":"FL","principal_zip":"33637","principal_country":"US","mail_address1":"13067 N Telecom Pkwy","mail_address2":"","mail_city":"Tampa","mail_state":"FL","mail_zip":"33637","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"81-2781401","jurisdiction":null,"county":null,"last_transaction_date":"03162020","report_year_1":"2025","report_date_1":"04222025","report_year_2":"2025","report_date_2":"04222025","report_year_3":"2024","report_date_3":"04152024","agent_name":"Syed M Ali","agent_type":"P","agent_address":"Syed Ali","agent_city":"Tampa","agent_state":"FL","agent_zip":"33637","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:47:01","updated_at":"2026-05-09 09:47:01","last_accessed":null,"status_reason":null,"agent_name_raw":"Ali                 Syed          M"},"officers":[{"name":"Syed Ali","first_name":"Syed","last_name":"Ali","title":"Director, President","title_roles":["Director","President"],"title_code":"dp","is_registered_agent":false,"address":"17324 Ballmont Park Dr","city":"Odessa","state":"FL","zip":"33556","name_raw":"ALI                 SYED"},{"name":"Milton Brown","first_name":"Milton","last_name":"Brown","title":"Director, Secretary","title_roles":["Director","Secretary"],"title_code":"ds","is_registered_agent":false,"address":"10555 Cory Lake Dr","city":"TAMPA","state":"FL","zip":"33647","name_raw":"BROWN               MILTON"},{"name":"Masood Khan","first_name":"Masood","last_name":"Khan","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"20114 Natures hike Way","city":"Tampa","state":"FL","zip":"33647","name_raw":"KHAN                MASOOD"},{"name":"Dipti Mehta","first_name":"Dipti","last_name":"Mehta","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"4201 Bayshore Blvd","city":"Tampa","state":"FL","zip":"33611","name_raw":"MEHTA               DIPTI"},{"name":"Ronniel Mercado","first_name":"Ronniel","last_name":"Mercado","title":"Director, Treasurer","title_roles":["Director","Treasurer"],"title_code":"dt","is_registered_agent":false,"address":"30595 Ivy FOrge Ct","city":"WESLEY CHAPEL","state":"FL","zip":"33543","name_raw":"MERCADO             RONNIEL"},{"name":"Khizzar Shaukat","first_name":"Khizzar","last_name":"Shaukat","title":"Director, Vice President, President","title_roles":["Director","Vice President","President"],"title_code":"dvp","is_registered_agent":false,"address":"10528 MARTINIQUE ISLE DR.","city":"TAMPA","state":"FL","zip":"33647","name_raw":"SHAUKAT             KHIZZAR"}],"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/N16000005331"}