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Individual

SAMANTHA HAYLE PRAVDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
927 45TH ST STE 201, MANGONIA PARK, FL 33407-2450
(561) 844-6363
Mailing address
927 45TH ST STE 201, MANGONIA PARK, FL 33407-2450
(561) 844-6363

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
316438
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
OS22678
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2019
Last updated
12/02/2025
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