Provider Demographics
NPI:1760981450
Name:DOTSON, KAREN MICHELE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MICHELE
Last Name:DOTSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 LAKE LIZZIE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8523
Mailing Address - Country:US
Mailing Address - Phone:407-301-2282
Mailing Address - Fax:
Practice Address - Street 1:2013 LIVE OAK BLVD STE B
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8410
Practice Address - Country:US
Practice Address - Phone:407-593-2911
Practice Address - Fax:888-728-0246
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9231206363LF0000X
FLRN9231206208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice