Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA HAYLE PRAVDER, DO
ActivePediatric Gastroenterology · MANGONIA PARK, FL
Registration Details
- NPI Number
- 1083175277
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2019 (7.084328759586 yrs)
- Last Updated
- Dec 2, 2025
- Licenses
-
OS22678 (FL)316438 (NY)
Practice Information
- Address
-
927 45TH ST STE 201MANGONIA PARK, FL, 334072450Browse FL providers · Browse ZIP 33407
- Phone
- 5618446363
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
- Additional Specialty
- Student (Health Education/Training)
Other Pediatric Gastroenterology Providers in MANGONIA PARK, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JOSEPH THOMAS | MD, RD | 1003114638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.