{"entity":{"id":5499384,"state":"FL","state_id":"N18860","entity_name":"FLORIDA MEDICAL MALPRACTICE CLAIMS COUNCIL, INC.-- WEST COAST","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1987-01-22","filing_year":1987,"business_age_years":39,"principal_address1":"C/O NELLY N. KHOUZAM, ESQUIRE","principal_address2":"133 N. FT. HARRISON AVE.","principal_city":"CLEARWATER","principal_state":"FL","principal_zip":"34615","principal_country":"US","mail_address1":"C/O NELLY KHOUZAM","mail_address2":"","mail_city":"CLEARWATER","mail_state":"FL","mail_zip":"34615","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"592796087","jurisdiction":null,"county":null,"last_transaction_date":"08251995","report_year_1":"1994","report_date_1":"03021994","report_year_2":"1994","report_date_2":"03021994","report_year_3":"1993","report_date_3":"07201993","agent_name":"Nelly N. Khouzam","agent_type":"P","agent_address":"133 N. FT. HARRISON AVE","agent_city":"CLEARWATER","agent_state":"FL","agent_zip":"33701","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata0.txt","fetched_at":"2026-05-09 09:10:34","updated_at":"2026-05-09 09:10:34","last_accessed":null,"status_reason":null,"agent_name_raw":"KHOUZAM             NELLY N."},"officers":[{"name":"Kirk Davis","first_name":"Kirk","last_name":"Davis","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"611 DRUID ROAD, EAST, STE. #512","city":"CLEARWATER","state":"FL","zip":"","name_raw":"DAVIS               KIRK"},{"name":"Kenneth C. Deacon","first_name":"Kenneth","last_name":"Deacon","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":false,"address":"150 SECOND AVENUE, NORTH, #1500","city":"ST. PETERSBURG","state":"FL","zip":"","name_raw":"DEACON              KENNETH C."},{"name":"George K. Foley","first_name":"George","last_name":"Foley","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"5110 EISENHOWER BLVD., STE. 112","city":"TAMPA","state":"FL","zip":"","name_raw":"FOLEY               GEORGE K."},{"name":"Howard Hunter","first_name":"Howard","last_name":"Hunter","title":"Treasurer","title_roles":["Treasurer"],"title_code":"treasurer","is_registered_agent":false,"address":"410 WARE BLVD., STE. 1101","city":"TAMPA","state":"FL","zip":"","name_raw":"HUNTER              HOWARD"},{"name":"James A. Martin","first_name":"James","last_name":"Martin","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"400 CLEVELAND STREET","city":"CLEARWATER","state":"FL","zip":"","name_raw":"MARTIN              JAMES A."},{"name":"William Patridge","first_name":"William","last_name":"Patridge","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"P. O. BOX 3979 N/A","city":"SARASOTA","state":"FL","zip":"","name_raw":"PATRIDGE            WILLIAM"}],"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/N18860"}