# BLUE WATER PAIN SOLUTIONS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235533696
- **Authorized official:** DR. LOWELL S. DAVIS (PRESIDENT)
- **Authorized official phone:** (954) 447-5206

## Contact information

- **Practice address:** 4925 SHERIDAN ST, SUITE 200, HOLLYWOOD, FL 33021-2834
- **Practice address phone:** (954) 447-5206
- **Mailing address:** PO BOX 277597, MIRAMAR, FL 33027-7597
- **Mailing address phone:** (800) 437-2672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 10/14/2014