{"entity":{"id":11016792,"state":"FL","state_id":"P96000096115","entity_name":"COMPLETE WELLNESS MEDICAL CENTER OF BROOKSVILLE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1996-11-25","filing_year":1996,"business_age_years":30,"principal_address1":"291 E. JEFFERSON STREET","principal_address2":"","principal_city":"BROOKSVILLE","principal_state":"FL","principal_zip":"34601","principal_country":"","mail_address1":"291 E. JEFFERSON STREET","mail_address2":"","mail_city":"BROOKSVILLE","mail_state":"FL","mail_zip":"34601","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593412693","jurisdiction":null,"county":null,"last_transaction_date":"10161998","report_year_1":"1997","report_date_1":"04161997","report_year_2":"1997","report_date_2":"04161997","report_year_3":"","report_date_3":"","agent_name":"Barbara E Shore","agent_type":"P","agent_address":"1881 UNIVERSITY DRIVE","agent_city":"CORAL SPRINGS","agent_state":"FL","agent_zip":"33071","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata5.txt","fetched_at":"2026-05-09 12:50:41","updated_at":"2026-05-09 12:50:41","last_accessed":null,"status_reason":null,"agent_name_raw":"SHORE               BARBARA       E"},"officers":[{"name":"Donald J Hensley","first_name":"Donald","last_name":"Hensley","title":"Director, President","title_roles":["Director","President"],"title_code":"dp","is_registered_agent":false,"address":"291 E JEFFERSON ST","city":"BROOKSVILLE","state":"FL","zip":"","name_raw":"HENSLEY             DONALD        J"}],"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/P96000096115"}