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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

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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