# ARTERY AND VEIN SPECIALISTS OF THE EMERALD COAST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831503911
- **Authorized official:** GINGER LYNNE MANOS MD (MEDICAL DOCTOR)
- **Authorized official phone:** (850) 398-2548

## Contact information

- **Practice address:** 4615 NW 53RD AVE, GAINESVILLE, FL 32653-4809
- **Practice address phone:** (850) 398-2548
- **Mailing address:** 4615 NW 53RD AVE, GAINESVILLE, FL 32653-4809
- **Mailing address phone:** (850) 398-2548
- **Mailing address fax:** (850) 398-2548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 75309 | GA | — |
| 2086S0129X | Vascular Surgery Physician | MD32127 | AL | — |
| 2086S0129X | Vascular Surgery Physician | MD32487 | SC | — |
| 2086S0129X | Vascular Surgery Physician | ME112123 | FL | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 012102000 | — | FL |
| 05 | — | 161998 | — | AL |