Individual
KELLY M. VANGILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
345 JUPITER LAKES BLVD, STE 200, JUPITER, FL 33458-7100
(561) 741-1957
(561) 741-1893
Mailing address
770 NORTHPOINT PARKWAY, SUITE 102, WEST PALM BEACH, FL 33407
(561) 275-7604
(561) 802-5385
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS07265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251951800
—
FL
01
—
P00192860
RAILROAD MEDICARE
FL
Enumeration date
07/14/2005
Last updated
12/15/2025
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