{"entity":{"id":11456194,"state":"FL","state_id":"P01000046375","entity_name":"NORTHEAST FLORIDA NEUROLOGY CLINICS, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2001-05-09","filing_year":2001,"business_age_years":25,"principal_address1":"1361 S. 13TH AV.","principal_address2":"SUITE 170A","principal_city":"JACKSONVILLE BEACH","principal_state":"FL","principal_zip":"32250","principal_country":"US","mail_address1":"1361 S. 13TH AV.","mail_address2":"SUITE 170A","mail_city":"JACKSONVILLE BEACH","mail_state":"FL","mail_zip":"32250","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593716706","jurisdiction":null,"county":null,"last_transaction_date":"09242010","report_year_1":"2009","report_date_1":"04142009","report_year_2":"2009","report_date_2":"04142009","report_year_3":"2008","report_date_3":"02292008","agent_name":"Randal C Fairbanks","agent_type":"P","agent_address":"50 NORTH LAURA STREET","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32202","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 13:13:57","updated_at":"2026-05-09 13:13:57","last_accessed":null,"status_reason":null,"agent_name_raw":"FAIRBANKS           RANDAL        C"},"officers":[{"name":"Ronnie D Baugh","first_name":"Ronnie","last_name":"Baugh","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"1361 S. 13TH AVE STE 170A","city":"JACKSONVILLE BEACH","state":"FL","zip":"32250","name_raw":"BAUGH               RONNIE        D"},{"name":"Richard J Boehme","first_name":"Richard","last_name":"Boehme","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"1361 S. 13TH AVE SUITE 170A","city":"JACKSONVILLE BEACH","state":"FL","zip":"32250","name_raw":"BOEHME              RICHARD       J"},{"name":"Grady L Carter","first_name":"Grady","last_name":"Carter","title":"Director, Vice President","title_roles":["Director","Vice President"],"title_code":"dv","is_registered_agent":false,"address":"1361 S. 13TH AVE STE 170A","city":"JACKSONVILLE BEACH","state":"FL","zip":"32250","name_raw":"CARTER              GRADY         L"},{"name":"Kevin M Holthaus","first_name":"Kevin","last_name":"Holthaus","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"1361 S 13TH AVE STE 170A","city":"JACKSONVILLE BEACH","state":"FL","zip":"32250","name_raw":"HOLTHAUS            KEVIN         M"},{"name":"George I Robinson","first_name":"George","last_name":"Robinson","title":"Vice President, Director","title_roles":["Vice President","Director"],"title_code":"vd","is_registered_agent":false,"address":"1361 S 13TH AVE STE 170A","city":"JACKSONVILLE BEACH","state":"FL","zip":"32250","name_raw":"ROBINSON            GEORGE        I"}],"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/P01000046375"}