Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shivani Mitra, MD

Individual provider Pediatrics Physician · NPI 1245224518

Shivani Mitra, MD is a Pediatrics Physician in Port St John, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5005 Port St John Pkwy 2500
Port St John, FL 32927-4305
Phone: (321) 690-0164
Fax: (321) 690-2591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME101697 (FL)

Record details

NPI number1245224518
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2005
Last updated in NPPESAugust 23, 2010