SAMANTHA HAYLE PRAVDER DO
NPI 1083175277
Pediatrics - Pediatric Gastroenterology in Mangonia Park, FL

Q: What is Samantha Pravder's NPI number?

The NPI number for Samantha Pravder is 1083175277. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Samantha Pravder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pravder was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2019

927 45TH ST STE 201, MANGONIA PARK, FL 33407(561) 844-6363 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Jun 10, 2025, Jan 25, 2023 (3 updates tracked since 2023).

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About Samantha Hayle Pravder Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA HAYLE PRAVDER DO (NPI 1083175277) is an individual pediatric gastroenterology provider in Mangonia Park, Florida, licensed in Florida (OS22678) and active in the NPI registry since March 2019. She maintains a secondary practice location in Boca Raton.

NPPES Registry Identity

NPI1083175277

Entity TypeIndividualFemale

Primary Taxonomy2080P0206X

Provider Legal NameSAMANTHA HAYLE PRAVDERCredential: DO

Location Address927 45TH ST STE 201Mangonia Park, FL 33407-2450

Mailing Address927 45th St Ste 201Mangonia Park, FL 33407-2450 · (561) 844-6363

Phone(561) 844-6363

Sole ProprietorNo

Enumeration DateMarch 29, 2019

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1083175277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in FL · OS22678✔ Licensed in NY · 316438

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

927 45TH ST STE 201, Mangonia Park, FL 33407

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Secondary Practice Location 1

Location 19980 Central Park Blvd N Ste 206Boca Raton, FL 33428-1703 · Phone (561) 558-1212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRIEL COSTIUC

Nurse Practitioner

927 45TH ST STE 201
WEST PALM BEACH, FL 33407

Palm Beach County (561) 882-6060

CHILDREN'S HEMATOLOGY & ONCOLOGY ASSOCIATES

Pediatrics (Pediatric Hematology-Oncology)

927 45TH ST STE 201
MANGONIA PARK, FL 33407

Palm Beach County (561) 844-8354

MR. NARAYANA GOWDA MD

Pediatrics (Pediatric Hematology-Oncology)

927 45TH ST STE 201
MANGONIA PARK, FL 33407

Palm Beach County (561) 558-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Pravder's NPI number?

The NPI number for Samantha Pravder is 1083175277. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Samantha Pravder located?

Samantha Pravder practices at 927 45th St Ste 201, Mangonia Park, FL 33407. The listed phone number is (561) 844-6363.

What is Samantha Pravder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

What insurance does Samantha Pravder accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Samantha Pravder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Pravder was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.