Provider Demographics
NPI:1841583051
Name:HIGGINS, MIKHAIL CSS (MD)
Entity type:Individual
Prefix:
First Name:MIKHAIL
Middle Name:CSS
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6574 N STATE ROAD 7 # 207
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3625
Mailing Address - Country:US
Mailing Address - Phone:561-894-1370
Mailing Address - Fax:561-894-1372
Practice Address - Street 1:4205 W ATLANTIC AVE STE 102
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3901
Practice Address - Country:US
Practice Address - Phone:561-894-1370
Practice Address - Fax:561-894-1372
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1996892085R0202X, 390200000X
FLME1285162085R0202X
FLME1649902085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program