Provider Demographics
NPI:1578758314
Name:MICHAEL W HIGGINS D O P A
Entity Type:Organization
Organization Name:MICHAEL W HIGGINS D O P A
Other - Org Name:HERNANDO ORTHOPAEDIC & SPINAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHOPAEDIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-688-3065
Mailing Address - Street 1:4055 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2467
Mailing Address - Country:US
Mailing Address - Phone:352-688-6035
Mailing Address - Fax:352-688-6219
Practice Address - Street 1:4055 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-5043
Practice Address - Country:US
Practice Address - Phone:352-688-6035
Practice Address - Fax:352-688-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH84305Medicare UPIN
FLK7217Medicare PIN
FL6150970001Medicare NSC