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WOMEN'S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC. - Florida Company Profile

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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)
Last Event: AMENDMENT
Event Date Filed: 14 Sep 2020 (5 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
City: Clearwater
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MILLER MELINDA R Vice President 2106 DREW ST #103, CLEARWATER, FL, 33765
MILLER MELINDA R Treasurer 2106 DREW ST #103, CLEARWATER, FL, 33765
OWENS DEZRA Secretary 2106 DREW ST #103, CLEARWATER, FL, 33765
MYERS SANDRA President 2106 DREW ST., STE 103, CLEARWATER, FL, 33765
MYERS SANDRA Director 2106 DREW ST., STE 103, CLEARWATER, FL, 33765
OWENS DEZRA Agent 2106 DREW ST, CLEARWATER, FL, 33765
DRESDEN GARY AMD Director 2106 DREW ST #103, CLEARWATER, FL, 33765
MILLER MELINDA R Director 2106 DREW ST #103, CLEARWATER, FL, 33765
DRESDEN DARA RMD Asst 2106 DREW ST, CLEARWATER, FL, 33765

National Provider Identifier

NPI Number:
1295982767

Authorized Person:

Name:
VICKI RAMBO
Role:
INSURANCE BILLING & CREDENTIALING R
Phone:

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
7274473797
Fax:
7277857712

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 - 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 33765
G93103000027 WOMEN'S OB/GYN CENTER OF COUNTRYSIDE ACTIVE 1993-04-13 2028-12-31 - 28960 U.S. HIGHWAY 19 NORTH, SUITE 110, CLEARWATER, FL, 33761, US

Events

Event Type Filed Date Value Description
AMENDMENT 2020-09-14 - -
REGISTERED AGENT NAME CHANGED 2011-03-28 OWENS, DEZRA -
CHANGE OF PRINCIPAL ADDRESS 2009-04-28 28960 US 19 N, #110, CLEARWATER, FL 33761 -
REGISTERED AGENT ADDRESS CHANGED 2009-04-28 2106 DREW ST, # 103, CLEARWATER, FL 33765 -
CHANGE OF MAILING ADDRESS 1998-05-11 28960 US 19 N, #110, CLEARWATER, FL 33761 -

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-27
Amendment 2020-09-14
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-29

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Date of last update: 03 Jul 2025

Sources: Florida Department of State