Organization
BLUE WATER PAIN SOLUTIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J COWARD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
2 OAKWOOD BLVD, SUITE 195, HOLLYWOOD, FL 33020-1960
(954) 447-5206
Mailing address
PO BOX 277597, MIRAMAR, FL 33027-7597
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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