{"entity":{"id":6186579,"state":"FL","state_id":"P22000046261","entity_name":"GENESIS KETAMINE CENTERS, CORP","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"2022-06-06","filing_year":2022,"business_age_years":4,"principal_address1":"2701 E. OAKLAND PARK BLVD","principal_address2":"SUITE D","principal_city":"FORT LAUDERDALE","principal_state":"FL","principal_zip":"33306","principal_country":"US","mail_address1":"1 BALA AVE","mail_address2":"SUITE 418","mail_city":"BALA CYNWYD","mail_state":"PA","mail_zip":"19004","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"87-0896948","jurisdiction":null,"county":null,"last_transaction_date":"09262025","report_year_1":"2024","report_date_1":"04032024","report_year_2":"2024","report_date_2":"04032024","report_year_3":"2023","report_date_3":"01252023","agent_name":"Michael Vassar","agent_type":"P","agent_address":"1720 NORTHEAST 16TH TERRACE","agent_city":"FORT LAUDERDALE","agent_state":"FL","agent_zip":"33305","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata1.txt","fetched_at":"2026-05-09 09:35:57","updated_at":"2026-05-09 09:35:57","last_accessed":null,"status_reason":null,"agent_name_raw":"VASSAR              MICHAEL"},"officers":[{"name":"Samuel Grodofsky","first_name":"Samuel","last_name":"Grodofsky","title":"Director, Registered Agent","title_roles":["Director","Registered Agent"],"title_code":"dr","is_registered_agent":false,"address":"405 CARANEL CIR","city":"PENN VALLEY","state":"PA","zip":"19072","name_raw":"GRODOFSKY           SAMUEL"}],"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/P22000046261"}