Individual
HUGH MAURICE VANGELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3310 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 343-1216
(352) 343-1582
Mailing address
3310 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 343-1216
(352) 343-1582
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME59091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040683
CIGNA
FL
01
—
134223953
HUMANA
FL
01
—
1353524
UNITED
FL
01
—
14986
BCBS
FL
01
—
17791
WELLCARE
FL
01
—
240489
AVMED
FL
01
—
3306362
AETNA
FL
Enumeration date
02/17/2006
Last updated
10/29/2021
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