| Entity Name: | HCTB URGENT CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Aug 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P21000071160 |
| Address: | 2013 LIVE OAK BLVD, SUITE B, ST CLOUD, FL 34771 |
| Mail Address: | 2013 LIVE OAK BLVD, SUITE B, ST CLOUD, FL 34771 |
| ZIP code: | 34771 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194473496 | 2022-03-15 | 2022-03-15 | 1575 BUDINGER AVE, SAINT CLOUD, FL, 347694140, US | 1575 BUDINGER AVE, SAINT CLOUD, FL, 347694140, US | |||||||||||||||||||||
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| Phone | +1 407-593-2911 |
| Fax | 8887280246 |
Authorized person
| Name | MS. KAREN M DOTSON |
| Role | OWNER |
| Phone | 4075932311 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108943400 |
| State | FL |
| Name | Role |
|---|---|
| HCTB, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DOTSON, KAREN M | President | 2013 LIVE OAK BLVD STE B, ST CLOUD, FL 34771 |
| Name | Role | Address |
|---|---|---|
| WATSON, SHELLEY | Director | 2013 LIVE OAK BLVD SUITE B, ST CLOUD, FL 34771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2021-08-06 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
