Shivani Mitra
MD | Pediatrics | Female
Shivani Mitra, MD is a Port St John, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shivani Mitra is
5005 Port St John Pkwy, 2500, Port St John, Florida - 32927-4305. She can be contacted on phone at
321-690-0164 and fax number 321-690-2591.
Shivani Mitra is a sole proprietor of her business.
NPI number (Unique professional ID) for Shivani Mitra is
1245224518 which was assigned by NPPES on 01 Sep, 2005 and it was last updated on 23 Aug, 2010.
Shivani Mitra license number is
ME101697 for Pediatrics (208000000X) in Florida.
Shivani Mitra is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shivani Mitra basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Shivani Mitra |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shivani Mitra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5005 Port St John Pkwy, 2500
Port St John, FL, 32927-4305
United States |
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| Phone Number : | 321-690-0164 |
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| Fax Number : | 321-690-2591 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245224518 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Sep, 2005 |
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| Last Updated On : | 23 Aug, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shivani Mitra are as mentioned. Primary taxonomy code for Shivani Mitra, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME101697 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Shivani Mitra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000036200 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 850001
Orlando, FL, 32885-0001
United States |
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| Phone Number : | 321-268-6111 |
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| Fax Number : | 321-268-0125 |
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Business Location:
Patients can refer following map for directions to
Shivani Mitra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.