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
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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