{"entity":{"id":12674276,"state":"FL","state_id":"P24000000626","entity_name":"FLORIDA SPINE AND SPORTS MEDICINE, LLC","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"A","filing_date":"12272023","filing_year":2023,"business_age_years":3,"principal_address1":"3030 N ROCKY POINT DR. W","principal_address2":"665","principal_city":"TAMPA","principal_state":"FL","principal_zip":"33607","principal_country":"US","mail_address1":"3030 N ROCKY POINT DR. W","mail_address2":"665","mail_city":"TAMPA","mail_state":"FL","mail_zip":"33607","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"NOT APPLICABLE","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2025","report_date_1":"02172025","report_year_2":"2025","report_date_2":"02172025","report_year_3":"2024","report_date_3":"02042024","agent_name":"Samuel Fiii Nixon","agent_type":"P","agent_address":"16612 HUTCHISON RD","agent_city":"ODESSA","agent_state":"FL","agent_zip":"33556","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 14:04:03","updated_at":"2026-05-09 14:04:03","last_accessed":null,"status_reason":null,"agent_name_raw":"NIXON               SAMUEL        FIII"},"officers":[{"name":"Samuel Fiii Nixon","first_name":"Samuel","last_name":"Nixon","title":"CEO","title_roles":["CEO"],"title_code":"ceo","is_registered_agent":true,"address":"16612 HUTCHISON RD","city":"ODESSA","state":"FL","zip":"33556","name_raw":"NIXON               SAMUEL        FIII"}],"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/P24000000626"}