Provider Demographics
NPI:1427253236
Name:PASTEWSKI, ANDREW (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:PASTEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9333 SW 152ND ST STE 203
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1778
Mailing Address - Country:US
Mailing Address - Phone:305-234-9180
Mailing Address - Fax:305-807-7498
Practice Address - Street 1:9333 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1778
Practice Address - Country:US
Practice Address - Phone:305-234-9180
Practice Address - Fax:305-234-9182
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2023-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 99152207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLN419383OtherWELLCARE
FL279157900Medicaid
FL16784OtherBCBS FL
FL279157900Medicaid