{"entity":{"id":16325638,"state":"FL","state_id":"V20919","entity_name":"PHYSICIAN'S DIAGNOSTIC CENTER OF ST. AUGUSTINE, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1992-03-11","filing_year":1992,"business_age_years":34,"principal_address1":"2150 U.S. HIGHWAY 1 SOUTH","principal_address2":"","principal_city":"ST. AUGUSTINE","principal_state":"FL","principal_zip":"32086","principal_country":"US","mail_address1":"C/O IRWIN E. BLOOM, CPA","mail_address2":"730 FIFTH AVE., SUITE 1805","mail_city":"NEW YORK","mail_state":"NY","mail_zip":"10019","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650336951","jurisdiction":null,"county":null,"last_transaction_date":"08251995","report_year_1":"1994","report_date_1":"05261994","report_year_2":"1994","report_date_2":"05261994","report_year_3":"1993","report_date_3":"07301993","agent_name":"Moore, Sapp, Macdonald & Wells Brant PA","agent_type":"C","agent_address":"50 NORTH LAURA STREET","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":"cordata9.txt","fetched_at":"2026-05-09 16:08:58","updated_at":"2026-05-09 16:08:58","last_accessed":null,"status_reason":null,"agent_name_raw":"BRANT, MOORE, SAPP, MACDONALD & WELLS P.A."},"officers":[{"name":"Irwin Bloom","first_name":"Irwin","last_name":"Bloom","title":"President, Secretary, Treasurer, Director","title_roles":["President","Secretary","Treasurer","Director"],"title_code":"pstd","is_registered_agent":false,"address":"730 FIFTH AVE., SUITE 1805","city":"NEW YORK","state":"NY","zip":"10019","name_raw":"BLOOM               IRWIN"},{"name":"Michael K Sapp","first_name":"Michael","last_name":"Sapp","title":"Assistant, Secretary","title_roles":["Assistant","Secretary"],"title_code":"as","is_registered_agent":false,"address":"50 N. LAURA STREET, SUITE 3100","city":"JACKSONVILLE","state":"FL","zip":"32202","name_raw":"SAPP                MICHAEL       K"}],"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/V20919"}