{"entity":{"id":14549104,"state":"FL","state_id":"P02000127288","entity_name":"PARTNERS IN HEALTH F.O.R.M.E. MEDICAL AND REHAB CENTERS, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2002-12-03","filing_year":2002,"business_age_years":24,"principal_address1":"9730 NW 2 AVE","principal_address2":"","principal_city":"MIAMI SHORES","principal_state":"FL","principal_zip":"33138","principal_country":"","mail_address1":"PO Box 171742","mail_address2":"","mail_city":"Miami","mail_state":"FL","mail_zip":"33017","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593773826","jurisdiction":null,"county":null,"last_transaction_date":"04302017","report_year_1":"2016","report_date_1":"04282016","report_year_2":"2016","report_date_2":"04282016","report_year_3":"2015","report_date_3":"05012015","agent_name":"Henry R Sanon","agent_type":"P","agent_address":"9730 NE 2 AVE","agent_city":"MAIMI SHORES","agent_state":"FL","agent_zip":"33138","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:08:25","updated_at":"2026-05-09 15:08:25","last_accessed":null,"status_reason":null,"agent_name_raw":"SANON               HENRY         R"},"officers":[{"name":"Henry R Sanon","first_name":"Henry","last_name":"Sanon","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":true,"address":"9730 NE 2 AVE","city":"MIAMI SHORES","state":"FL","zip":"33138","name_raw":"SANON               HENRY         R"}],"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/P02000127288"}