{"entity":{"id":12895832,"state":"FL","state_id":"P21000072866","entity_name":"FIRST COAST MEDICARE INSURANCE BROKERS, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2021-08-13","filing_year":2021,"business_age_years":5,"principal_address1":"12724 Gran Bay Parkway West","principal_address2":"","principal_city":"Jacksonville","principal_state":"FL","principal_zip":"32258","principal_country":"US","mail_address1":"12724 Gran Bay Parkway West","mail_address2":"","mail_city":"Jacksonville","mail_state":"FL","mail_zip":"32258","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"87-2064504","jurisdiction":null,"county":null,"last_transaction_date":"09262025","report_year_1":"2024","report_date_1":"04162024","report_year_2":"2024","report_date_2":"04162024","report_year_3":"2023","report_date_3":"03022023","agent_name":"Coast Medicare Insurance Brokers First","agent_type":"C","agent_address":"12724  Gran Bay Parkway West","agent_city":"Jacksonville","agent_state":"FL","agent_zip":"32258","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 14:11:42","updated_at":"2026-05-09 14:11:42","last_accessed":null,"status_reason":null,"agent_name_raw":"First Coast Medicare Insurance Brokers"},"officers":[{"name":"Alaina Cook","first_name":"Alaina","last_name":"Cook","title":"Secretary","title_roles":["Secretary"],"title_code":"secr","is_registered_agent":false,"address":"12724  Gran Bay Parkway West","city":"Jacksonville","state":"FL","zip":"32258","name_raw":"Cook                Alaina"},{"name":"Jessica Cook","first_name":"Jessica","last_name":"Cook","title":"President","title_roles":["President"],"title_code":"pres","is_registered_agent":false,"address":"12724 Gran Bay Parkway West","city":"Jacksonville","state":"FL","zip":"32258","name_raw":"Cook                Jessica"}],"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/P21000072866"}