OrganizationActive
Blue Water Pain Solutions, PA
NPI 1386059517 · Pain Medicine (Anesthesiology) Physician · Lauderdale Lakes, FL
Provider details
- NPI number
- 1386059517
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lowell Davis, President(954) 447-5206
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260
Phone: (954) 447-5206
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 277597
Miramar, FL 33027-7597
Registry dates
- Enumerated
- 2014-06-26
- Last updated
- 2014-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.