{"entity":{"id":7187421,"state":"FL","state_id":"P22000071372","entity_name":"PEMBROKE LAKES MALL DENTAL, P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"2022-09-13","filing_year":2022,"business_age_years":4,"principal_address1":"11401 PINES BLVD.","principal_address2":"","principal_city":"PEMBROKE PINES","principal_state":"FL","principal_zip":"33026","principal_country":"US","mail_address1":"C/O STOMATCARE DSO, LLC","mail_address2":"333 SE 2ND AVE SUITE 2540","mail_city":"MIAMI","mail_state":"FL","mail_zip":"33131","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"92-0345702","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2026","report_date_1":"01302026","report_year_2":"2026","report_date_2":"01302026","report_year_3":"2025","report_date_3":"02092025","agent_name":"Rostislav Krasnov DDS","agent_type":"P","agent_address":"333 SE 2ND AVE.","agent_city":"MIAMI","agent_state":"FL","agent_zip":"33131","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata2.txt","fetched_at":"2026-05-09 10:09:46","updated_at":"2026-05-09 10:09:46","last_accessed":null,"status_reason":null,"agent_name_raw":"KRASNOV             ROSTISLAV      DDS"},"officers":[{"name":"Rostislav Krasnov DDS","first_name":"Rostislav","last_name":"Krasnov","title":"Director, President, Treasurer, Secretary","title_roles":["Director","President","Treasurer","Secretary"],"title_code":"dpts","is_registered_agent":false,"address":"333 SE 2ND AVE., SUITE 2520","city":"MIAMI","state":"FL","zip":"33131","name_raw":"KRASNOV             ROSTISLAV     DDS"}],"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/P22000071372"}