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Organization
BLUE WATER PAIN SOLUTIONS, PA
Active
Organization
BLUE WATER PAIN SOLUTIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL S. DAVIS D.O. (PRESIDENT)
(954) 447-5206
Entity
Organization
Contact information
Practice address
4850 W OAKLAND PARK BLVD, SUITE 201, LAUDERDALE LAKES, FL 33313-7260
(954) 447-5206
Mailing address
PO BOX 277597, MIRAMAR, FL 33027-7597
(954) 447-5206
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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