Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Hayle Pravder, DO

Individual provider Pediatric Gastroenterology Physician · NPI 1083175277

Samantha Hayle Pravder, DO is a Pediatric Gastroenterology Physician in Mangonia Park, Florida. Works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

927 45th St Ste 201
Mangonia Park, FL 33407-2450
Phone: (561) 844-6363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9980 Central Park Blvd N Ste 206, Boca Raton, FL 33428-1703 — (561) 558-1212

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence OS22678 (FL)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 316438 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083175277
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025