{"entity":{"id":10608581,"state":"FL","state_id":"687254","entity_name":"COUNTRYSIDE MEDICAL CLINIC, INC.","entity_type":"DOMP","entity_type_normalized":"domestic_profit","status":"I","filing_date":"1980-09-10","filing_year":1980,"business_age_years":46,"principal_address1":"2274 STATE ROAD 580","principal_address2":"SUITE B, 580 BLDG.","principal_city":"CLEARWATER","principal_state":"FL","principal_zip":"33515","principal_country":"","mail_address1":"2274 STATE ROAD 580","mail_address2":"SUITE B, 580 BLDG.","mail_city":"CLEARWATER","mail_state":"FL","mail_zip":"33515","mail_country":"","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"000000000","jurisdiction":null,"county":null,"last_transaction_date":"12161981","report_year_1":"","report_date_1":"","report_year_2":"","report_date_2":"","report_year_3":"","report_date_3":"","agent_name":"Warren L. Harris","agent_type":"C","agent_address":"100 MADISON STREET","agent_city":"TAMPA","agent_state":"FL","agent_zip":"33602","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata4.txt","fetched_at":"2026-05-09 12:28:33","updated_at":"2026-05-09 12:28:33","last_accessed":null,"status_reason":null,"agent_name_raw":"HARRIS, WARREN L."},"officers":[{"name":"Read Lewin","first_name":"Read","last_name":"Lewin","title":"President, Treasurer, Director","title_roles":["President","Treasurer","Director"],"title_code":"ptd","is_registered_agent":false,"address":"547 SUWANEE CIRCLE","city":"TAMPA","state":"FL","zip":"","name_raw":"LEWIN, READ"},{"name":"George K.F. Wang","first_name":"George","last_name":"Wang","title":"Secretary, Vice President, Director","title_roles":["Secretary","Vice President","Director"],"title_code":"svd","is_registered_agent":false,"address":"1175 PEACHTREE ST. N.E.","city":"ATLANTA","state":"GA","zip":"","name_raw":"WANG, GEORGE K.F."}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://private.rootz.global/api/provenance/FL/687254"}