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Contact Information

COLLEEN B COBURN
901 45TH ST
KIMMEL BLDG
WEST PALM BEACH, FL33407-2413
 Phone: 561-844-5255
 Fax: 561-844-5245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for COLLEEN B COBURN · (Female)

NPI # 1386741536
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 10/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9108683
Hospital affiliation(s)
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    901 45TH ST
    WEST PALM BEACH, FL 33407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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