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 1:1035 N ORLANDO AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2213
Mailing Address - Country:US
Mailing Address - Phone:407-678-3255
Mailing Address - Fax:407-599-5966
Practice Address - Street 1:1035 N ORLANDO AVE STE 201
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2213
Practice Address - Country:US
Practice Address - Phone:407-678-3255
Practice Address - Fax:407-599-5966
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032412363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care