# KELLY HIGGINS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992973960
- **Authorized official:** KELLY HIGGINS ARNP (PRESIDENT)
- **Authorized official phone:** (407) 886-8164

## Contact information

- **Practice address:** 1941 MOHICAN TRAIL, MAITLAND, FL 32751
- **Practice address phone:** (407) 886-8164
- **Practice address fax:** (407) 886-0710
- **Mailing address:** 1941 MOHICAN TRL, MAITLAND, FL 32751-3729
- **Mailing address phone:** (407) 886-8164
- **Mailing address fax:** (407) 886-0710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP1930852 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 01/06/2014