{"entity":{"id":9821970,"state":"FL","state_id":"V41294","entity_name":"DAVID M. BORTNICK, PH. D., PSY. D., P.A.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"06031992","filing_year":1992,"business_age_years":34,"principal_address1":"1750 Tree Blvd.","principal_address2":"","principal_city":"Saint Augustine","principal_state":"FL","principal_zip":"32084","principal_country":"US","mail_address1":"1750 Tree Blvd.","mail_address2":"","mail_city":"Saint Augustine","mail_state":"FL","mail_zip":"32084","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"650342627","jurisdiction":null,"county":null,"last_transaction_date":"09232022","report_year_1":"2021","report_date_1":"01192021","report_year_2":"2021","report_date_2":"01192021","report_year_3":"2020","report_date_3":"01282020","agent_name":"David M. Bortnick","agent_type":"C","agent_address":"1750 Tree Blvd.","agent_city":"Saint Augustine","agent_state":"FL","agent_zip":"32084","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 11:47:25","updated_at":"2026-05-09 11:47:25","last_accessed":null,"status_reason":null,"agent_name_raw":"BORTNICK, DAVID M."},"officers":[{"name":"David M. Bortnick","first_name":"David","last_name":"Bortnick","title":"Director, Registered Agent","title_roles":["Director","Registered Agent"],"title_code":"dr.","is_registered_agent":true,"address":"1750 Tree Blvd.","city":"Saint Augustine","state":"FL","zip":"32084","name_raw":"BORTNICK, DAVID M."}],"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/V41294"}