Shivani Mitra, MD

NPI #1245224518 in Port St John, Florida

Provider Information

NPI Number
1245224518
Entity Type
Individual
Name
Shivani Mitra, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Sep 1, 2005
Last Updated
Aug 23, 2010

Practice Location

Address
5005 PORT ST JOHN PKWY
Address 2
2500
State
Florida
ZIP Code
32927-4305
Phone
(321) 690-0164

Specialties & Taxonomy Codes

Specialty
Pediatrics

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