Individual
LOWELL SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1951 SW 172ND AVE, #314, MIRAMAR, FL 33029-5593
(954) 447-5206
Mailing address
PO BOX 817737, HOLLYWOOD, FL 33081-1737
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS9166
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
OS9166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270851500
—
FL
01
—
44147
BCBS
FL
Enumeration date
01/20/2006
Last updated
01/19/2011
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