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COUNTRYWAY EYECARE, INC

Company Details

Entity Name: COUNTRYWAY EYECARE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Jan 2014 (11 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P14000003630
FEI/EIN Number 46-4530046
Address: 6911 PISTOL RANGE ROAD, SUITE 103B, TAMPA, FL, 33635
Mail Address: 6911 PISTOL RANGE ROAD, SUITE 103B, TAMPA, FL, 33635
ZIP code: 33635
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629493887 2014-02-25 2014-02-25 6911 PISTOL RANGE RD, TAMPA, FL, 336356335, US 6911 PISTOL RANGE RD, TAMPA, FL, 336356335, US

Contacts

Phone +1 813-925-3393
Fax 8139253394

Authorized person

Name DR. TARA RUSOFF
Role PRES
Phone 8139253393

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OP3810
State FL
Is Primary Yes

Agent

Name Role
COUNTRYWAY EYECARE, INC Agent

Director

Name Role Address
RUSOFF TARA Director 6911 PISTOL RANGE ROAD #103B, TAMPA, FL, 33635

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000005442 BAYSIDE FAMILY EYECARE EXPIRED 2014-01-15 2019-12-31 No data 6911 PISTOL RANGE ROAD SUITE 103B, TAMPA, FL, 33635

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REGISTERED AGENT NAME CHANGED 2016-01-16 COUNTRYWAY EYECARE INC No data

Documents

Name Date
ANNUAL REPORT 2019-01-19
ANNUAL REPORT 2018-06-26
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-01-16
ANNUAL REPORT 2015-01-09
Domestic Profit 2014-01-14

Date of last update: 01 Feb 2025

Sources: Florida Department of State