{"entity":{"id":8014016,"state":"FL","state_id":"N40522","entity_name":"CLAY INDEPENDENT PRACTICE ASSOCIATION, INC.","entity_type":"DOMNP","entity_type_normalized":"domestic_nonprofit","status":"I","filing_date":"1990-10-16","filing_year":1990,"business_age_years":36,"principal_address1":"2020 PROFESSIONAL CENTER DR.","principal_address2":"","principal_city":"ORANGE PARK","principal_state":"FL","principal_zip":"32073","principal_country":"","mail_address1":"2020 PROFESSIONAL CENTER DR.","mail_address2":"","mail_city":"ORANGE PARK","mail_state":"FL","mail_zip":"32073","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593070579","jurisdiction":null,"county":null,"last_transaction_date":"08251995","report_year_1":"1994","report_date_1":"06201994","report_year_2":"1994","report_date_2":"06201994","report_year_3":"1993","report_date_3":"03121993","agent_name":"Charles J Jacobson","agent_type":"C","agent_address":"CLAY INDEPENDENT PRACTICE ASSOC., INC.","agent_city":"ORANGE PARK","agent_state":"FL","agent_zip":"32073","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata2.txt","fetched_at":"2026-05-09 10:37:59","updated_at":"2026-05-09 10:37:59","last_accessed":null,"status_reason":null,"agent_name_raw":"JACOBSON CHARLES J"},"officers":[{"name":"Patrick A., Duffy MD","first_name":"Patrick","last_name":"Duffy","title":"Secretary, Director","title_roles":["Secretary","Director"],"title_code":"sd","is_registered_agent":false,"address":"1893 KINGSLEY AVE","city":"ORANGE PARK","state":"FL","zip":"","name_raw":"DUFFY, PATRICK A., M.D."},{"name":"Charles J Jacobson","first_name":"Charles","last_name":"Jacobson","title":"Treasurer, Director","title_roles":["Treasurer","Director"],"title_code":"td","is_registered_agent":false,"address":"2020 PROFESSIONAL CENTER DR","city":"ORANGE PARK","state":"FL","zip":"","name_raw":"JACOBSON            CHARLES       J"},{"name":"Thomas A., Marsland MD","first_name":"Thomas","last_name":"Marsland","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"836 PRUDENTIAL DR","city":"JACKSONVILLE","state":"FL","zip":"","name_raw":"MARSLAND, THOMAS A., 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/N40522"}