Degennaro, Vincent A
Degennaro, Vincent A is an individual health care provider with primary practice located at 1201 Nw 16Th St , Miami FL 33125-1624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Degennaro, Vincent A can be contacted via phone (305) 575-3244.Contact Information
Primary practice address
1201 Nw 16Th St
Miami FL 33125-1624
Phone: (305) 575-3244
Fax: (305) 575-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME50676 | Florida |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ME50676 | Florida |
Profile Details
| NPI number | 1952390817 |
|---|---|
| LBN Legal business name | Degennaro, Vincent A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 30th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952390817 | NPPES |
| Florida | Other | 03892 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 225451 | BLUE CROSS BLUE SHIELD |
| Florida | Other | D19041 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 002517 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 020012679 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 4075362 | BLUE CROSS BLUE SHIELD |
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