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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 SCOTT DAVIS D.O. (PRESIDENT)
(954) 447-5206
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE, SUITE 212, MIRAMAR, FL 33029-5593
(954) 447-5206
Mailing address
PO BOX 277597, MIRAMAR, FL 33027-7597
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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