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  5. WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC.

WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC.

Company Details

Entity Name: WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Apr 1983 (42 years ago)
Document Number: G33269
FEI/EIN Number 592313091
Mail Address: 2106 DREW ST, 103, CLEARWATER, FL, 33765, US
Address: 28960 US 19 N, #110, CLEARWATER, FL, 33761, US
ZIP code: 33761
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295982767 2008-08-26 2023-12-13 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 337653238, US 28960 US HWY 19 NORTH, SUITE 110, CLEARWATER, FL, 337612403, US

Contacts
Phone +1 727-442-0445
Fax 7274473797
Phone +1 727-785-2525
Fax 7277857712

Authorized person
Name VICKI RAMBO
Role INSURANCE BILLING & CREDENTIALING R
Phone 7274420445

Taxonomy
Taxonomy Code 207VG0400X - Gynecology Physician
License Number 753
State FL
Is Primary Yes

Agent

Name Role Address
OWENS DEZRA Agent 2106 DREW ST, CLEARWATER, FL, 33765

Director

Name Role Address
DRESDEN GARY AMD Director 2106 DREW ST #103, CLEARWATER, FL, 33765
MILLER MELINDA R Director 2106 DREW ST #103, CLEARWATER, FL, 33765
MYERS SANDRA Director 2106 DREW ST., STE 103, CLEARWATER, FL, 33765

Vice President

Name Role Address
MILLER MELINDA R Vice President 2106 DREW ST #103, CLEARWATER, FL, 33765

Treasurer

Name Role Address
MILLER MELINDA R Treasurer 2106 DREW ST #103, CLEARWATER, FL, 33765

Secretary

Name Role Address
OWENS DEZRA Secretary 2106 DREW ST #103, CLEARWATER, FL, 33765

Asst

Name Role Address
DRESDEN DARA RMD Asst 2106 DREW ST, CLEARWATER, FL, 33765

President

Name Role Address
MYERS SANDRA President 2106 DREW ST., STE 103, CLEARWATER, FL, 33765

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000020449 ALL WOMEN'S HEALTH CENTER OF CLEARWATER ACTIVE 2012-02-28 2027-12-31 No data 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 33765
G93103000027 WOMEN'S OB/GYN CENTER OF COUNTRYSIDE ACTIVE 1993-04-13 2028-12-31 No data 28960 U.S. HIGHWAY 19 NORTH, SUITE 110, CLEARWATER, FL, 33761, US

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-14 No data No data

Related by officers

DRESDEN GARY AMD

LAKELAND WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER, INC. FT. MYERS WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER OF GAINESVILLE, INC. PROFESSIONAL FUTURES, INC. ALL WOMEN'S HEALTH CENTER OF SARASOTA, INC. ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC. ALL WOMEN'S HEALTH CENTER OF TAMPA, INC. ALL WOMEN'S HEALTH CENTER OF NORTH TAMPA, INC. ALL WOMEN'S HEALTH CENTER OF ORLANDO, INC.

MILLER MELINDA R

LAKELAND WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER, INC. FT. MYERS WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER OF GAINESVILLE, INC. ALL WOMEN'S HEALTH CENTER OF SARASOTA, INC. ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC. ALL WOMEN'S HEALTH CENTER OF TAMPA, INC. ALL WOMEN'S HEALTH CENTER OF NORTH TAMPA, INC. AMERICAN MEDICAL MANAGEMENT, INC. ORLANDO - ALTAMONTE, INC.

OWENS DEZRA

INTEGRITY PROPERTIES OF TAMPA BAY, LLC ATTORNEY'S VIDEO SERVICES, LLC LAKELAND WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER, INC. FT. MYERS WOMEN'S HEALTH CENTER, INC. FOUR STAR PRODUCTIONS, LLC ALL WOMEN'S HEALTH CENTER OF GAINESVILLE, INC. PROFESSIONAL FUTURES, INC. ALL WOMEN'S HEALTH CENTER OF SARASOTA, INC. ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC.

DRESDEN DARA RMD

LAKELAND WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER OF GAINESVILLE, INC. ALL WOMEN'S HEALTH CENTER OF SARASOTA, INC. ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC. ALL WOMEN'S HEALTH CENTER OF NORTH TAMPA, INC.

MYERS SANDRA

FONTANA IMPORTS, LLC LUZ DA LUA, LLC LAKELAND WOMEN'S HEALTH CENTER, INC. ALL WOMEN'S HEALTH CENTER, INC. FT. MYERS WOMEN'S HEALTH CENTER, INC. ZEIGLER SCREEN SERVICES INC. ALL WOMEN'S HEALTH CENTER OF GAINESVILLE, INC. ALL WOMEN'S HEALTH CENTER OF SARASOTA, INC. ALL WOMEN'S HEALTH CENTER OF JACKSONVILLE, INC. ALL WOMEN'S HEALTH CENTER OF TAMPA, INC.

Related by address

2106 DREW ST, 103, CLEARWATER, FL, 33765, US

ALL WOMEN'S HEALTH CENTER, INC.

Date of last update: 03 Jan 2025

Sources: Florida Department of State

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