{"entity":{"id":9433606,"state":"FL","state_id":"P20000082963","entity_name":"BEACHSIDE PEDIATRIC ASSOCIATES, PA","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"2020-10-15","filing_year":2020,"business_age_years":6,"principal_address1":"490 Florida 85N","principal_address2":"Ste. A","principal_city":"Niceville","principal_state":"FL","principal_zip":"32578","principal_country":"US","mail_address1":"490 Hwy 85N, Ste A","mail_address2":"","mail_city":"NICEVILLE","mail_state":"FL","mail_zip":"32578","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"85-3478169","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2026","report_date_1":"01202026","report_year_2":"2026","report_date_2":"01202026","report_year_3":"2025","report_date_3":"03242025","agent_name":"Lisa Y Pitell","agent_type":"P","agent_address":"Patriot Plaza 1402 Cat-Mar Rd","agent_city":"NICEVILLE","agent_state":"FL","agent_zip":"32578","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 11:32:14","updated_at":"2026-05-09 11:32:14","last_accessed":null,"status_reason":null,"agent_name_raw":"PITELL              LISA          Y"},"officers":[{"name":"Moore Kristen","first_name":"Moore","last_name":"Kristen","title":"Chief Officer","title_roles":["Chief Officer"],"title_code":"chie","is_registered_agent":false,"address":"490 Hwy 85N, Ste A","city":"NICEVILLE","state":"FL","zip":"32578","name_raw":"Kristen             Moore"},{"name":"Lalitha Vadlamani-Simmers","first_name":"Lalitha","last_name":"Vadlamani-Simmers","title":"Director, President, Secretary, Treasurer","title_roles":["Director","President","Secretary","Treasurer"],"title_code":"dpst","is_registered_agent":false,"address":"490 HWY 85N, STE A","city":"NICEVILLE","state":"FL","zip":"32578","name_raw":"VADLAMANI-SIMMERS   LALITHA"}],"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/P20000082963"}