Individual
MS. COLLEEN BENNETT COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 45TH ST, KIMMEL BLDG, WEST PALM BEACH, FL 33407-2413
(561) 844-5255
(561) 844-5245
Mailing address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4542
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
PA9108683
FL
Other
Enumeration date
09/20/2006
Last updated
10/23/2020
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