Healthcare Provider Details

I. General information

NPI: 1609075316
Provider Name (Legal Business Name): SUE SHIN COHN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUE J SHIN M.D.

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 CORPORATE WAY
WEST PALM BEACH FL
33407-2004
US

IV. Provider business mailing address

180 JFK DR STE 100
ATLANTIS FL
33462-6641
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-9511
  • Fax: 561-990-7426
Mailing address:
  • Phone: 561-967-6500
  • Fax: 561-963-7023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME116914
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME116914
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: