Women’s ObGyn Center of Countryside, Inc, 28960 U.S. Highway 19 North, Suite 110, Clearwater, FL 33761
Killers:
Betancourt, Fernando (verified) – Ft. Myers, Sarasota, Tampa
Dresden, Gary (verified, owner) – Clearwater, Tampa
Jones, Malcolm Wells (verified) – Clearwater, Tampa, Lakeland
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Facility/Provider Type: Abortion Clinic
Administrator: MICHELE P WILSON
Owner: WOMENS OB-GYN CENTER OF COUNTRYSIDE INC
Owner Since: 2/12/1992
Profit Status: For-Profit
Licensed Beds: Not Available
AHCA Number (File Number): 13910029
AHCA Region: 05
License Number: 753
Current License Effective: 2/27/2011
License Expires: 2/26/2013
License Status: ACTIVE
Authorized Procedures : First Trimester
Florida Profit Corporation
WOMEN’S OBSTETRICAL & GYNECOLOGICAL CENTER OF COUNTRYSIDE, INC.
Registered Agent Name & Address
OWENS, DEZRA 2106 DREW ST- 103
CLEARWATER FL 33765 US
Officer/Director Detail
Name & Address
Title DP
RYGIEL, ROBIN L
2106 DREW ST., STE 103
CLEARWATER FL 33765 US
Title D
DRESDEN, GARY A MD
2106 DREW ST #103
CLEARWATER FL 33765 US
Title DVT
MILLER, MELINDA R
2106 DREW ST #103
CLEARWATER FL 33765 US
Title S
OWENS, DEZRA
2106 DREW ST #103
CLEARWATER FL 33765 US
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