Colleen Bennett Coburn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108683 Issued in FL

Practice address

901 45TH St
Kimmel BLDG
West Palm Beach, FL 33407-2413

Phone

(561) 844-5255

Fax

(561) 844-5245

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Practitioners, LLC

  • Surgical Physician Assistant
  • Pembroke Pines, FL
  • NPI 1528456548

  FL

  Medicare reassignment Care Compare group
• Tenet Florida Physician Services II, LLC

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
  • NPI 1912266420

  FL, Physician Assistant

  Medicare reassignment NPD (past)
• Tenet Florida Physician Services II, LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1770391286
  NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  • General Acute Care Hospital
  • Ft Lauderdale, FL
  • NPI 1639197395

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1386741536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MACARTHUR CSWY",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395101",
            "telephone_number": "305-535-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "address_2": "KIMMEL BLDG",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Greenwood Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072452",
            "country_code": "US",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-8545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 MacArthur Cswy",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395101",
            "country_code": "US",
            "telephone_number": "305-535-4542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 SW 37th Ave Ste 901",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331332751",
            "country_code": "US",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "COLLEEN",
        "middle_name": "BENNETT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Medical Products LLC
• Coastal Rehabilitation Services Inc
• Meghan Nicole Cobb, COTA
• Reasia Cobb
• Angela Coben
• Jennifer Coby, D.O.
• Jeremiah Cocking, RMHCI
• Carline M Cockrell, CCPA
• Steve T. Cocotos, MD
• Lana Codallo, COTA/L

• Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.