Higgins, Jonathan Amahl

Higgins, Jonathan Amahl is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Higgins, Jonathan Amahl can be contacted via phone (352) 323-5762.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Fax: (352) 265-1060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME116861 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME116861 Florida

Profile Details

NPI number 1548426356
LBN Legal business name Higgins, Jonathan Amahl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Feb 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548426356 NPPES
Florida MEDICAID 009360300

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