MEDICARE: ALISSA HOSEIN LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	ND14731	FL

General Provider Information

NPI Number	:	1376203224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA HOSEIN LDN

Provider Business Mailing Address
First Line	:	PO BOX 748817
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8817
Country	:	US
Telephone Number	:	813-286-0033
Fax Number	:	813-282-1806

Provider Business Practice Location Address
First Line	:	3438 LAWTON RD STE 2A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-2948
Country	:	US
Telephone Number	:	407-751-2867
Fax Number	:	888-720-4569

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2021
Last Update Date	:	12/08/2025

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