{"entity":{"id":16345823,"state":"FL","state_id":"P99000084989","entity_name":"PHYSICIANS HEALTH SOURCE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1999-09-23","filing_year":1999,"business_age_years":27,"principal_address1":"403 EDGEWATER DRIVE","principal_address2":"","principal_city":"POLK CITY","principal_state":"FL","principal_zip":"33868","principal_country":"","mail_address1":"403 EDGEWATER DRIVE","mail_address2":"","mail_city":"POLK CITY","mail_state":"FL","mail_zip":"33868","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":"07122006","report_year_1":"2005","report_date_1":"04302005","report_year_2":"2005","report_date_2":"04302005","report_year_3":"2004","report_date_3":"05042004","agent_name":"Kem Hall","agent_type":"P","agent_address":"403 EDGEWATER DRIVE","agent_city":"POLK CITY","agent_state":"FL","agent_zip":"33868","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 16:09:40","updated_at":"2026-05-09 16:09:40","last_accessed":null,"status_reason":null,"agent_name_raw":"HALL                KEM"},"officers":[{"name":"Kem Hall","first_name":"Kem","last_name":"Hall","title":"President, Secretary","title_roles":["President","Secretary"],"title_code":"ps","is_registered_agent":true,"address":"403 EDGEWATER DRIVE","city":"POLK CITY","state":"FL","zip":"33868","name_raw":"HALL                KEM"}],"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/P99000084989"}