Organization
ARTERY AND VEIN SPECIALISTS OF THE EMERALD COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER LYNNE MANOS MD (MEDICAL DOCTOR)
(850) 398-2548
Entity
Organization
Contact information
Practice address
4615 NW 53RD AVE, GAINESVILLE, FL 32653-4809
(850) 398-2548
Mailing address
4615 NW 53RD AVE, GAINESVILLE, FL 32653-4809
(850) 398-2548
(850) 398-2548
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
75309
GA
2086S0129X
Vascular Surgery Physician
MD32127
AL
2086S0129X
Vascular Surgery Physician
MD32487
SC
2086S0129X
Vascular Surgery Physician
Primary
ME112123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012102000
—
FL
05
—
161998
—
AL
Enumeration date
06/17/2014
Last updated
02/10/2026
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