{"entity":{"id":15610733,"state":"FL","state_id":"P09000003588","entity_name":"PEMBROKE VILLAGE MEDICAL CENTER, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2009-01-13","filing_year":2009,"business_age_years":17,"principal_address1":"13550 S.W. 10TH STREET","principal_address2":"SUITE B","principal_city":"PEMBROKE PINES","principal_state":"FL","principal_zip":"33027","principal_country":"US","mail_address1":"1090 JUPITER PARK DR","mail_address2":"SUITE 101","mail_city":"JUPITER","mail_state":"FL","mail_zip":"33458","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":null,"jurisdiction":null,"county":null,"last_transaction_date":"09232022","report_year_1":"2021","report_date_1":"04262021","report_year_2":"2021","report_date_2":"04262021","report_year_3":"2020","report_date_3":"06292020","agent_name":"Alys N Daniels","agent_type":"P","agent_address":"701 US HIGHWAY ONE","agent_city":"NORTH PALM BEACH","agent_state":"FL","agent_zip":"33408","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 15:45:15","updated_at":"2026-05-09 15:45:15","last_accessed":null,"status_reason":null,"agent_name_raw":"DANIELS             ALYS          N"},"officers":[{"name":"Rajendra M Bansal","first_name":"Rajendra","last_name":"Bansal","title":"President, Secretary, Treasurer, Director","title_roles":["President","Secretary","Treasurer","Director"],"title_code":"pstd","is_registered_agent":false,"address":"875 N. MILITARY TRAIL, # 200","city":"JUPITER","state":"FL","zip":"33458","name_raw":"BANSAL              RAJENDRA      M"},{"name":"Robert D Camerlinck","first_name":"Robert","last_name":"Camerlinck","title":"Manager","title_roles":["Manager"],"title_code":"manager","is_registered_agent":false,"address":"1090 JUPITER PARK DR","city":"JUPITER","state":"FL","zip":"33458","name_raw":"CAMERLINCK          ROBERT        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/P09000003588"}