Provider Demographics
NPI:1306664321
Name:HOOSEIN, NATASHA KAVITA (ARNP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:KAVITA
Last Name:HOOSEIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:KAVITA
Other - Last Name:NATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:13612 OLD DOCK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-9504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13612 OLD DOCK RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-9504
Practice Address - Country:US
Practice Address - Phone:407-484-0948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032412363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care