Healthcare Provider Details

I. General information

NPI: 1427253236
Provider Name (Legal Business Name): ANDREW PASTEWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 SW 152ND ST
PALMETTO BAY FL
33157-1778
US

IV. Provider business mailing address

9333 SW 152ND ST STE 203
PALMETTO BAY FL
33157-1778
US

V. Phone/Fax

Practice location:
  • Phone: 305-234-9180
  • Fax: 305-234-9182
Mailing address:
  • Phone: 305-234-9180
  • Fax: 305-807-7498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME 99152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: