{"entity":{"id":16519660,"state":"FL","state_id":"N19000000239","entity_name":"AMERICAN BOARD OF VASCULAR SURGERY, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"A","filing_date":"01032019","filing_year":2019,"business_age_years":7,"principal_address1":"12440 Hammock way","principal_address2":"","principal_city":"Palm Beach Gardens","principal_state":"FL","principal_zip":"33412","principal_country":"US","mail_address1":"12440 Hammock Way","mail_address2":"","mail_city":"Palm Beach Gardens","mail_state":"FL","mail_zip":"33412","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"83-3275070","jurisdiction":null,"county":null,"last_transaction_date":"01232022","report_year_1":"2025","report_date_1":"02222025","report_year_2":"2025","report_date_2":"02222025","report_year_3":"2024","report_date_3":"07182024","agent_name":"Pauline T Mayer","agent_type":"P","agent_address":"12440 Hammock Way","agent_city":"Palm Beach Gardens","agent_state":"FL","agent_zip":"33412","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata9.txt","fetched_at":"2026-05-09 16:15:13","updated_at":"2026-05-09 16:15:13","last_accessed":null,"agent_name_raw":"MAYER               PAULINE       T"},"officers":[{"name":"Alan Dietzek MD","first_name":"Alan","last_name":"Dietzek","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"41 GERMANTOWN RD","city":"DANBURY","state":"CT","zip":"06810","name_raw":"DIETZEK             ALAN          MD"},{"name":"Sean Lyden MD","first_name":"Sean","last_name":"Lyden","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"C/O CLEVELAND CLINIC, 9500 EUCLID AVE","city":"CLEVELAND","state":"OH","zip":"44106","name_raw":"LYDEN               SEAN          MD"},{"name":"Jeffrey Hsu MD","first_name":"Jeffrey","last_name":"Hsu","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"C/O KAISER PERMANENTE, 9961 SIERRA AVE","city":"FONTANA","state":"CA","zip":"92335","name_raw":"HSU                 JEFFREY       MD"}],"filing_history":[],"status_history":[],"verified_domains":[],"provenance_url":"https://private.rootz.global/api/provenance/FL/N19000000239"}