Healthcare Provider Details

I. General information

NPI: 1306468947
Provider Name (Legal Business Name): HCTB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 BUDINGER AVE
SAINT CLOUD FL
34769-4140
US

IV. Provider business mailing address

1575 BUDINGER AVE
SAINT CLOUD FL
34769-4140
US

V. Phone/Fax

Practice location:
  • Phone: 407-593-2911
  • Fax: 407-593-2911
Mailing address:
  • Phone: 407-593-2911
  • Fax: 407-593-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAREN MICHELE DOTSON
Title or Position: OWNER/PROVIDER
Credential: ARNP
Phone: 407-489-6938