MS. Colleen Bennett Coburn

Individual provider Military Health Care Provider · NPI 1386741536

MS. Colleen Bennett Coburn is a Physician Assistant in West Palm Beach, Florida. Qualified in 2014, 12 years ago. Practices with Florida Practitioners, LLC, a 62-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying: 12
Licensed in: FL
In the registry since: 2006
Specialties on file: 2

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Practice location Address checks out

901 45th St Kimmel Bldg
West Palm Beach, FL 33407-2413
Phone: (561) 844-5255
Fax: (561) 844-5245

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

2601 Sw 37th Ave Ste 901, Miami, FL 33133-2751 — (561) 844-5255
100 Macarthur Cswy, Miami Beach, FL 33139-5101 — (305) 535-4542
5325 Greenwood Ave Ste 103, West Palm Beach, FL 33407-2452 — (561) 844-5255

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence PA9108683 (FL)
Military Health Care Provider	Taxonomy 171000000X

Record details

NPI number	1386741536
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	September 20, 2006
Last updated in NPPES	October 23, 2020
Certification date	October 22, 2020
Mailing address	100 Macarthur Cswy, Miami Beach, FL 33139-5101

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2014 (12 years in practice)
Group practice	Florida Practitioners, Llc — 62 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	4 on file with Medicare