Individual ProviderVincent A DegennaroSurgeryAllopathic & Osteopathic PhysiciansPractice Address1201 NW 16th St, Miami, FL 33125-1624(305) 575-3244PECOS EnrollmentBased on the most recent information from CMS, provider Vincent A Degennaro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1952390817Provider TypeIndividualFull NameDegennaro, Vincent ACredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/13/2005Last Updated7/30/2009Contact InformationPractice LocationPractice Address1201 NW 16th St, Miami, FL 33125-1624Phone(305) 575-3244Fax(305) 575-3255Mailing LocationMailing Address1201 NW 16th St, Miami, FL 33125-1624Phone(305) 575-3244Fax(305) 575-3255Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicenseME50676FloridaCode208C00000XDescriptionColon & Rectal SurgeryAllopathic & Osteopathic PhysiciansLicenseME50676FloridaProvider IdentifiersIDDescriptionIssuerID03892DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaID225451DescriptionOtherIssuerAVMEDFloridaIDD19041DescriptionOtherIssuerVISTAFloridaID002517DescriptionOtherIssuerNEIGHBORHOOD HEALTHFloridaID020012679DescriptionOtherIssuerRAILROAD RETIREMENTID4075362DescriptionOtherIssuerAETNA