{"entity":{"id":12720522,"state":"FL","state_id":"P02000112676","entity_name":"CCLL MEDICAL SUPPLIES, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2002-10-18","filing_year":2002,"business_age_years":24,"principal_address1":"514 LAKESIDE CIRCLE","principal_address2":"","principal_city":"SUNRISE","principal_state":"FL","principal_zip":"33326","principal_country":"","mail_address1":"514 LAKESIDE CIRCLE","mail_address2":"","mail_city":"SUNRISE","mail_state":"FL","mail_zip":"33326","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"522384584","jurisdiction":null,"county":null,"last_transaction_date":"09272013","report_year_1":"2012","report_date_1":"03102012","report_year_2":"2012","report_date_2":"03102012","report_year_3":"2011","report_date_3":"02212011","agent_name":"Mario Leon-Laurent","agent_type":"P","agent_address":"3731 NW 115 TERRACE","agent_city":"SUNRISE","agent_state":"FL","agent_zip":"33323","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata6.txt","fetched_at":"2026-05-09 14:05:37","updated_at":"2026-05-09 14:05:37","last_accessed":null,"status_reason":null,"agent_name_raw":"LEON-LAURENT        MARIO"},"officers":[{"name":"Mario Leon-Laurent","first_name":"Mario","last_name":"Leon-Laurent","title":"President","title_roles":["President"],"title_code":"president","is_registered_agent":true,"address":"514 LAKESIDE CIRCLE","city":"SUNRISE","state":"FL","zip":"33326","name_raw":"LEON-LAURENT        MARIO"}],"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/P02000112676"}