{"entity":{"id":11034558,"state":"FL","state_id":"P00000012495","entity_name":"LAKE BUENA VISTA DENTAL, P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"02042000","filing_year":2000,"business_age_years":26,"principal_address1":"12131 S. APOPKA-VINELAND RD","principal_address2":"","principal_city":"ORLANDO","principal_state":"FL","principal_zip":"32836","principal_country":"","mail_address1":"6240 LAKE OSPREY DR.","mail_address2":"","mail_city":"SARASOTA","mail_state":"FL","mail_zip":"34240","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650978730","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2025","report_date_1":"04302025","report_year_2":"2025","report_date_2":"04302025","report_year_3":"2024","report_date_3":"07242024","agent_name":"T Corporation System C","agent_type":"C","agent_address":"1200 SOUTH PINE ISLAND ROAD","agent_city":"PLANTATION","agent_state":"FL","agent_zip":"33324","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 12:51:24","updated_at":"2026-05-09 12:51:24","last_accessed":null,"status_reason":null,"agent_name_raw":"C T CORPORATION SYSTEM"},"officers":[{"name":"Donald Gallo","first_name":"Donald","last_name":"Gallo","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"6240 LAKE OSPREY DR.","city":"SARASOTA","state":"FL","zip":"34240","name_raw":"GALLO               DONALD"}],"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/P00000012495"}