{"entity":{"id":14157088,"state":"FL","state_id":"P96000083247","entity_name":"ROBERT D. BAZLEY, M.D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1996-10-07","filing_year":1996,"business_age_years":30,"principal_address1":"2021 KINGSLEY AVENUE, STE. 105","principal_address2":"","principal_city":"ORANGE PARK","principal_state":"FL","principal_zip":"32073","principal_country":"","mail_address1":"2021 KINGSLEY AVENUE, STE. 105","mail_address2":"","mail_city":"ORANGE PARK","mail_state":"FL","mail_zip":"32073","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593412442","jurisdiction":null,"county":null,"last_transaction_date":"09241999","report_year_1":"1998","report_date_1":"04211998","report_year_2":"1998","report_date_2":"04211998","report_year_3":"1997","report_date_3":"08261997","agent_name":"Richard R Thames","agent_type":"P","agent_address":"121 W. FORSYTH ST., STE. 600","agent_city":"JACKSONVILLE","agent_state":"FL","agent_zip":"32202","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata7.txt","fetched_at":"2026-05-09 14:54:36","updated_at":"2026-05-09 14:54:36","last_accessed":null,"status_reason":null,"agent_name_raw":"THAMES              RICHARD       R"},"officers":[{"name":"Robert D Bazley","first_name":"Robert","last_name":"Bazley","title":"Director, President, Secretary","title_roles":["Director","President","Secretary"],"title_code":"dps","is_registered_agent":false,"address":"1355 MAHAMA BLUFF ROAD","city":"GREEN COVE SPRINGS","state":"FL","zip":"32043","name_raw":"BAZLEY              ROBERT        D"}],"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/P96000083247"}