MS. Colleen Bennett Coburn

NPI #1386741536 in West Palm Beach, Florida

Provider Information

NPI Number: 1386741536
Entity Type: Individual
Name: MS. Colleen Bennett Coburn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 20, 2006
Last Updated: Oct 23, 2020

Practice Location

Address: 901 45TH ST
Address 2: KIMMEL BLDG
City: West Palm Beach
State: Florida
ZIP Code: 33407-2413
Phone: (561) 844-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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