Most Relevant Information
Provider Data
| NPI Number: | 1003815895 |
| Provider Name: | KELLY M. VANGILDER D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | OS07265 |
Most Important Dates
| Enumeration Date: | 07/14/2005 |
| Last Updated: | 09/25/2017 |
Provider Practice Location
345 JUPITER LAKES BLVD
STE 200
JUPITER
FL
334587100
Practice Location Phone/Fax
| Phone: | 5617411957 |
| Fax: | 5617411893 |
Provider Mailing Location
770 NORTHPOINT PARKWAY
SUITE 102
WEST PALM BEACH
FL
33407
Provider Mailing Phone/Fax
| Phone: | 5612757604 |
| Fax: | 5618025385 |
Suggested EMR
OBGYN EMR