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Organization
KELLY HIGGINS
Active
Organization
KELLY HIGGINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HIGGINS ARNP (PRESIDENT)
(407) 886-8164
Entity
Organization
Contact information
Practice address
1941 MOHICAN TRAIL, MAITLAND, FL 32751
(407) 886-8164
(407) 886-0710
Mailing address
1941 MOHICAN TRL, MAITLAND, FL 32751-3729
(407) 886-8164
(407) 886-0710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1930852
FL
Other
Enumeration date
02/13/2008
Last updated
01/06/2014
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