# BLUE WATER PAIN SOLUTIONS, PA

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

## Provider details

- **NPI number:** 1316352545
- **Authorized official:** DR. LOWELL S. DAVIS D.O. (PRESIDENT)
- **Authorized official phone:** (954) 447-5206

## Contact information

- **Practice address:** 2010 NW 150TH AVE STE 100, PEMBROKE PINES, FL 33028-2888
- **Practice address phone:** (954) 447-5206
- **Practice address fax:** (954) 447-5259
- **Mailing address:** 2010 NW 150TH AVE STE 100, PEMBROKE PINES, FL 33028-2888
- **Mailing address phone:** (954) 447-5206
- **Mailing address fax:** (954) 447-5259

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2014
- **Last updated:** 12/03/2025