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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
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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