{"entity":{"id":15991682,"state":"FL","state_id":"P95000076229","entity_name":"CHIPOLA MEDICAL GROUP, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1995-09-29","filing_year":1995,"business_age_years":31,"principal_address1":"4288 FIFTH AVENUE","principal_address2":"","principal_city":"MARIANNA","principal_state":"FL","principal_zip":"32446","principal_country":"","mail_address1":"4294 FIFTH AVE","mail_address2":"","mail_city":"MARIANNA","mail_state":"FL","mail_zip":"32446","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593356893","jurisdiction":null,"county":null,"last_transaction_date":"09222000","report_year_1":"1999","report_date_1":"01201999","report_year_2":"1999","report_date_2":"01201999","report_year_3":"1998","report_date_3":"03131998","agent_name":"Richard M Christopher","agent_type":"P","agent_address":"4318 FIFTH AVE","agent_city":"MARIANNA","agent_state":"FL","agent_zip":"32446","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 15:57:54","updated_at":"2026-05-09 15:57:54","last_accessed":null,"status_reason":null,"agent_name_raw":"CHRISTOPHER         RICHARD       M"},"officers":[{"name":"Leisa H Bailey","first_name":"Leisa","last_name":"Bailey","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"101 E. WISCONSIN STREET","city":"BONIFAY","state":"FL","zip":"32425","name_raw":"BAILEY              LEISA         H"},{"name":"Wm F Brunner","first_name":"Wm","last_name":"Brunner","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"4295 THIRD AVENUE","city":"MARIANNA","state":"FL","zip":"32446","name_raw":"BRUNNER             WM            F"},{"name":"Richard M Christopher","first_name":"Richard","last_name":"Christopher","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":true,"address":"4318 FIFTH AVE","city":"MARIANNA","state":"FL","zip":"","name_raw":"CHRISTOPHER         RICHARD       M"},{"name":"James M Clemmons","first_name":"James","last_name":"Clemmons","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"P.O. BOX 741  N/A","city":"CHIPLEY","state":"FL","zip":"32428","name_raw":"CLEMMONS            JAMES         M"},{"name":"Jose H Cortes","first_name":"Jose","last_name":"Cortes","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"P.O. BOX 1504 / 3051 SIXTH STREET","city":"MARIANNA","state":"FL","zip":"32446","name_raw":"CORTES              JOSE          H"}],"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/P95000076229"}