Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water Pain Solutions, PA

Organization Pain Medicine (Anesthesiology) Physician · NPI 1386059517

Blue Water Pain Solutions, PA provides Pain Medicine (Anesthesiology) Physician services in Lauderdale Lakes, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4850 W Oakland Park Blvd Ste 201
Lauderdale Lakes, FL 33313-7260 Not confirmed with CMS for 12 years — call before visiting
Phone: (954) 447-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1386059517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lowell Davis — President · (954) 447-5206
NPI enumeratedJune 26, 2014
Last updated in NPPESJune 26, 2014
Mailing addressPo Box 277597, Miramar, FL 33027-7597

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