Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
COUNTRYSIDE WEST MEDICAL CLINIC ASSOCIATION, INC.
Filing Information
N06000009084
20-5568596
08/25/2006
FL
ACTIVE
AMENDMENT
10/03/2006
NONE
Principal Address
Changed: 05/10/2007
3190 MCMULLEN BOOTH ROAD
CLEARWATER, FL 33761
CLEARWATER, FL 33761
Changed: 05/10/2007
Mailing Address
Changed: 05/10/2007
3248 MASTERS DRIVE
CLEARWATER, FL 33761
CLEARWATER, FL 33761
Changed: 05/10/2007
Registered Agent Name & Address
TRAUB, JOEL
Name Changed: 03/16/2023
Address Changed: 05/10/2007
3248 MASTERS DRIVE
CLEARWATER, FL 33761
CLEARWATER, FL 33761
Name Changed: 03/16/2023
Address Changed: 05/10/2007
Officer/Director Detail
Name & Address
Title President
Mallon, Andrew, Dr.
Title Treasurer
MADAN, SANJAY DR
Title Secretary
Schneider, Jean-Raphael, Dr.
Title Manager
Traub, Joel
Title President
Mallon, Andrew, Dr.
3190 MCMULLEN BOOTH ROAD
100
CLEARWATER, FL 33761
100
CLEARWATER, FL 33761
Title Treasurer
MADAN, SANJAY DR
3190 MCMULLEN BOOTH ROAD
201
CLEARWATER, FL 33761
201
CLEARWATER, FL 33761
Title Secretary
Schneider, Jean-Raphael, Dr.
3190 McMullen Booth Rd
200
CLEARWATER, FL 33761
200
CLEARWATER, FL 33761
Title Manager
Traub, Joel
3248 Masters Drive
Clearwater, FL 33761
Clearwater, FL 33761
Annual Reports
Report Year | Filed Date |
2021 | 03/15/2021 |
2022 | 04/19/2022 |
2023 | 03/16/2023 |
Document Images