{"entity":{"id":14564520,"state":"FL","state_id":"V01748","entity_name":"COASTAL NEUROMUSCULAR CENTER, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1991-12-19","filing_year":1991,"business_age_years":35,"principal_address1":"2425 S 3RD ST","principal_address2":"","principal_city":"JACKSONVILLE BEACH","principal_state":"FL","principal_zip":"32250","principal_country":"","mail_address1":"2425 S 3RD ST","mail_address2":"","mail_city":"JACKSONVILLE BEACH","mail_state":"FL","mail_zip":"32250","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"593094916","jurisdiction":null,"county":null,"last_transaction_date":"10201997","report_year_1":"1997","report_date_1":"02271997","report_year_2":"1997","report_date_2":"02271997","report_year_3":"1996","report_date_3":"04171996","agent_name":"Timothy Alan Reep","agent_type":"C","agent_address":"2425 S 3RD ST","agent_city":"JACKSONVILLE BEACH","agent_state":"FL","agent_zip":"32250","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata8.txt","fetched_at":"2026-05-09 15:09:04","updated_at":"2026-05-09 15:09:04","last_accessed":null,"status_reason":null,"agent_name_raw":"REEP, TIMOTHY ALAN"},"officers":[{"name":"Roxanne Mitchell","first_name":"Roxanne","last_name":"Mitchell","title":"Vice President, Member","title_roles":["Vice President","Member"],"title_code":"vm","is_registered_agent":false,"address":"111 LA PASADA CIR N","city":"PONTE VEDRA BCH","state":"FL","zip":"","name_raw":"MITCHELL            ROXANNE"},{"name":"Timothy A Reep","first_name":"Timothy","last_name":"Reep","title":"President, Director","title_roles":["President","Director"],"title_code":"pd","is_registered_agent":false,"address":"20 S 1ST ST, #7","city":"JACKSONVILLE BCH","state":"FL","zip":"","name_raw":"REEP                TIMOTHY       A"}],"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/V01748"}