| Entity Name: | COUNTRY SOUTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Mar 1993 (32 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P93000021514 |
| FEI/EIN Number | 65-0504041 |
| Address: | 5567 TAYLOR ROAD, #7 & 8, NAPLES, FL 34109 |
| Mail Address: | PO BOX 110189, NAPLES, FL 34108 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477556389 | 2005-05-24 | 2009-09-15 | PO BOX 110189, NAPLES, FL, 341080104, US | 5567 TAYLOR RD, STE 8, NAPLES, FL, 341091880, US | |||||||||||||||||||||||||
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| Phone | +1 239-514-1156 |
| Fax | 2395141159 |
Authorized person
| Name | KATHERINE ELIZABETH FISCINA |
| Role | PRESIDENT |
| Phone | 2395141156 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 943257 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 951568200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FISCINA, KATHERINE E | Agent | 5567 TAYLOR ROAD, #7 & 8, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| FISCINA, KATHERINE E | President | 1910 MANCHESTER CIRCLE, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| FISCINA, KATHERINE E | Secretary | 1910 MANCHESTER CIRCLE, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| FISCINA, KATHERINE E | Treasurer | 1910 MANCHESTER CIRCLE, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| FISCINA, KATHERINE E | Director | 1910 MANCHESTER CIRCLE, NAPLES, FL 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-04 | 5567 TAYLOR ROAD, #7 & 8, NAPLES, FL 34109 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-04 | 5567 TAYLOR ROAD, #7 & 8, NAPLES, FL 34109 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-05-21 | FISCINA, KATHERINE E | No data |
| CHANGE OF MAILING ADDRESS | 1999-06-29 | 5567 TAYLOR ROAD, #7 & 8, NAPLES, FL 34109 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-04 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-02 |
| ANNUAL REPORT | 2007-05-21 |
| ANNUAL REPORT | 2007-01-02 |
| ANNUAL REPORT | 2006-01-03 |
| ANNUAL REPORT | 2005-01-03 |
| ANNUAL REPORT | 2004-01-06 |
| ANNUAL REPORT | 2003-01-13 |
| ANNUAL REPORT | 2002-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
