{"entity":{"id":16340673,"state":"FL","state_id":"P92000014509","entity_name":"WEST PALM BEACH FACIAL AND SKIN LASER SURGERY CENTER, P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1992-12-21","filing_year":1992,"business_age_years":34,"principal_address1":"10111 FOREST HILL BLVD","principal_address2":"SUITE 341","principal_city":"WEST PALM BEACH","principal_state":"FL","principal_zip":"33414","principal_country":"","mail_address1":"10111 FOREST HILL BLVD","mail_address2":"SUITE 341","mail_city":"WEST PALM BEACH","mail_state":"FL","mail_zip":"33414","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":null,"jurisdiction":null,"county":null,"last_transaction_date":"08231996","report_year_1":"1995","report_date_1":"04201995","report_year_2":"1995","report_date_2":"04201995","report_year_3":"1994","report_date_3":"07111994","agent_name":"Michael G Mauck","agent_type":"P","agent_address":"10111 FOREST HILL BLVD","agent_city":"WEST PALM BEACH","agent_state":"FL","agent_zip":"33414","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata9.txt","fetched_at":"2026-05-09 16:09:30","updated_at":"2026-05-09 16:09:30","last_accessed":null,"status_reason":null,"agent_name_raw":"MAUCK               MICHAEL       G"},"officers":[{"name":"Jeffery Bishop","first_name":"Jeffery","last_name":"Bishop","title":"Vice President","title_roles":["Vice President"],"title_code":"vp","is_registered_agent":false,"address":"10131 FOREST HILL BLVD. #150","city":"WEST PALM BEACH","state":"FL","zip":"33414","name_raw":"BISHOP              JEFFERY"},{"name":"Robert R Campitelli","first_name":"Robert","last_name":"Campitelli","title":"Secretary","title_roles":["Secretary"],"title_code":"secretary","is_registered_agent":false,"address":"11031 FOREST HILL BLVD., #150","city":"WEST PALM BEACH","state":"FL","zip":"33414","name_raw":"CAMPITELLI          ROBERT        R"},{"name":"Michael G Mauck","first_name":"Michael","last_name":"Mauck","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":true,"address":"10111 FOREST HILL BLVD SUITE 341","city":"WEST PALM BEACH","state":"FL","zip":"33414","name_raw":"MAUCK               MICHAEL       G"}],"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/P92000014509"}