NPI 1083175277

Samantha Hayle Pravder, DO

Practitioner Pediatric Gastroenterology Physician Mangonia Park, FL

Practice location

Address: 927 45th St STE 201, Mangonia Park, FL 33407-2450
Phone: (561) 844-6363

Registered specialties (3)

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X Licence OS22678 (FL)

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Pediatric Gastroenterology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X Licence 316438 (NY)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1083175277
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2019
Record last updated: 2 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.