# BLUE WATER PAIN SOLUTIONS, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1386059517
- **Authorized official:** DR. LOWELL S. DAVIS D.O. (PRESIDENT)
- **Authorized official phone:** (954) 447-5206

## Contact information

- **Practice address:** 4850 W OAKLAND PARK BLVD, SUITE 201, LAUDERDALE LAKES, FL 33313-7260
- **Practice address phone:** (954) 447-5206
- **Mailing address:** PO BOX 277597, MIRAMAR, FL 33027-7597
- **Mailing address phone:** (954) 447-5206

## 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:** 06/26/2014