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General NPI Number Information
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NPI Number | 1841583051
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Entity Type | Individual
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Provider Name | MIKHAIL C.S.S. HIGGINS MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 06/08/2025
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Provider Practice Location Address
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Address Line | 4205 W ATLANTIC AVE STE 102
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3901
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Country | US
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Telephone | 561-894-1370
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Fax | 561-894-1372
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Provider Business Mailing Address
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Address Line | 6574 N STATE ROAD 7 # 207
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3625
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Country | US
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Telephone | 561-894-1370
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Fax | 561-894-1372
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT199689
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME128516
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT199689
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME164990
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License Number State | FL
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