Artery And Vein Specialists Of The Emerald Coast, Inc.

LBN: Artery And Vein Specialists Of The Emerald Coast, Inc.
Artery And Vein Specialists Of The Emerald Coast, Inc. is an health care organization with primary practice located at 4615 Nw 53Rd Ave , Gainesville FL 32653-4809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Artery And Vein Specialists Of The Emerald Coast, Inc. can be contacted via phone (850) 398-2548, or through Manos, Ginger Lynne via phone (850) 398-2548.

Contact Information

Primary practice address
4615 Nw 53Rd Ave Gainesville FL 32653-4809
Fax:
Website:
Authorized official contact:
Name: Manos, Ginger Lynne Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD32127 Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME112123 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD32487 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 75309 Georgia

Profile Details

NPI number 1831503911
LBN Legal business name Artery And Vein Specialists Of The Emerald Coast, Inc.
DBA Doing business as
Authorized official Manos, Ginger Lynne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2014
Last updated May 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831503911 NPPES
Florida MEDICAID 012102000
Florida MEDICAID 161998

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