Healthcare Provider Details

I. General information

NPI: 1154244523
Provider Name (Legal Business Name): CALIN M PASTIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 SW 2ND CT
HALLANDALE BEACH FL
33009-5313
US

IV. Provider business mailing address

640 SW 2ND CT
HALLANDALE BEACH FL
33009-5313
US

V. Phone/Fax

Practice location:
  • Phone: 954-326-9393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11049440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: