| Entity Name: | COUNTRYSIDE HEARING AID SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jun 2011 (14 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 15 Jun 2015 (10 years ago) |
| Document Number: | P11000054696 |
| FEI/EIN Number | 452677672 |
| Address: | 25829 US Highway 19 N, Clearwater, FL, 33763, US |
| Mail Address: | 25829 US Highway 19 N, Clearwater, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124565940 | 2017-01-31 | 2017-01-31 | 25829 US HIGHWAY 19 N, CLEARWATER, FL, 337632034, US | 25829 US HIGHWAY 19 N, CLEARWATER, FL, 337632034, US | |||||||||||||||||||
|
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| Phone | +1 727-796-1161 |
| Fax | 7277961249 |
Authorized person
| Name | MRS. LAURIE LYNN MITCHELL |
| Role | OWNER/VICE PRESIDENT |
| Phone | 7277961161 |
Taxonomy
| Taxonomy Code | 237700000X - Hearing Instrument Specialist |
| License Number | AS3091 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mitchell Laurie L | Agent | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| MITCHELL THOMAS | Director | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| MITCHELL LAURIE | Director | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| MITCHELL THOMAS | President | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| MITCHELL LAURIE | President | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| MITCHELL LAURIE | Vice President | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| MITCHELL LAURIE | Secretary | 25829 US Highway 19 N, Clearwater, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-09 | 25829 US Highway 19 N, Clearwater, FL 33763 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-09 | 25829 US Highway 19 N, Clearwater, FL 33763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-09 | 25829 US Highway 19 N, Clearwater, FL 33763 | No data |
| NAME CHANGE AMENDMENT | 2015-06-15 | COUNTRYSIDE HEARING AID SERVICES, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-28 | Mitchell, Laurie L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-09 |
| Name Change | 2015-06-15 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
