Shivani Mitra, MD - Pediatrics in Port St John, FL

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Shivani Mitra, MD is a Pediatrics physician based in Port St John, Florida. Shivani Mitra is licensed to practice in Florida (license number ME101697) and her current practice location is 5005 Port St John Pkwy, 2500, Port St John, Florida. She can be reached at her office (for appointments etc.) via phone at (321) 690-0164.

NPI number for Shivani Mitra is 1245224518 and her current mailing address is Po Box 850001, Orlando, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245224518.

Contact Information

Shivani Mitra, MD
5005 Port St John Pkwy, 2500,
Port St John, FL 32927-4305
(321) 690-0164
(321) 690-2591

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Physician's Profile

Full NameShivani Mitra
GenderFemale
SpecialityPediatrics
Location5005 Port St John Pkwy, Port St John, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245224518
  • Provider Enumeration Date: 09/01/2005
  • Last Update Date: 08/23/2010

Medical Identifiers

Medical identifiers for Shivani Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245224518NPI-NPPES
000036200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME101697 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shivani Mitra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shivani Mitra, MD
Po Box 850001,
Orlando, FL 32885-0001

Ph: (321) 268-6111		Shivani Mitra, MD
5005 Port St John Pkwy, 2500,
Port St John, FL 32927-4305

Ph: (321) 690-0164

Reviews and Comments


Pediatrics Doctors in Port St John, FL


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