BLUE WATER PAIN SOLUTIONS, PA (NPI# 1235533696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235533696 |
| Entity Type | Organization |
| Organization Name | BLUE WATER PAIN SOLUTIONS, PA |
| Practice Address |
4925 Sheridan St Suite 200 Hollywood FL 33021-2834 |
| Mailing Address |
Po Box 277597 Miramar FL 33027-7597 |
| Practice Telephone | 9544475206 |
| Mailing Telephone | 8004372672 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. LOWELL S. DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9544475206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508090 | Blue Water Pain Solutions, Pa | Pain Medicine | 2 Oakwood Blvd, Suite 195, Hollywood, FL 33020-1960 | 2017-03-03 |
| 1922487636 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 212, Miramar, FL 33029-5593 | 2015-05-27 |
| 1033513494 | Blue Water Pain Solutions, Pa | Anesthesiology | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2014-10-14 |
| 1386059517 | Blue Water Pain Solutions, Pa | Anesthesiology | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2014-06-26 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| Street Address |
4925 SHERIDAN ST SUITE 200 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957697 | Sunrise Medical Group Inc | Radiology | 4925 Sheridan St, 200, Hollywood, FL 33021-2829 | 2006-05-11 |
| 1235460999 | Occupational Performance Center Inc. | Radiology | 4925 Sheridan St, Suite 100, Hollywood, FL 33021-2834 | 2010-01-20 |
| 1992821821 | Rhonda Quarnetta Freeman | Clinical Neuropsychologist | 4925 Sheridan St, Hollywood, FL 33021-2834 | 2007-03-22 |
| 1326114752 | Gill M Fox | Physical Medicine & Rehabilitation | 4925 Sheridan St, Suite 200, Hollywood, FL 33021-2834 | 2006-11-28 |
| 1235180001 | Alvaro Padilla | Psychiatry & Neurology | 4925 Sheridan St, Ste 200, Hollywood, FL 33021-2829 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609262799 | Radius Pain Management PC | Anesthesiology | 6464 Sunset Blvd, No 790, Hollywood, CA 90028-8006 | 2015-04-15 |
| 1639165400 | Lance Joseph Lehmann | Anesthesiology | 3990 Sheridan St, Suite 103, Hollywood, FL 33021-3661 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181087 | John Peter Lafferty Iv | Anesthesiology | 2039 Hillview St Apt 4, Sarasota, FL 34239-2396 | 2020-07-10 |
| 1679197735 | Dynamic Pain & Wellness Pllc | Anesthesiology | 325 John Knox Rd Bldg 200, Tallahassee, FL 32303-4114 | 2020-06-04 |
| 1689294621 | Advanced Pain Management and Wellness Center | Anesthesiology | 241 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2020-04-20 |
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1700446077 | Gulf Coast Pain Consultants LLC | Anesthesiology | 182 A East Redstone Ave, Crestview, FL 32539-5371 | 2019-06-18 |
| 1265099386 | Gulf Coast Pain Consultants LLC | Anesthesiology | 10437 Sorrento Rd Ste 203, Pensacola, FL 32507-7620 | 2019-05-23 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1861056384 | Englewood Pain Management LLC | Anesthesiology | 2061 Englewood Rd Ste 2a, Englewood, FL 34223-1747 | 2019-04-30 |
| 1962066241 | Doctors Best Wellness Centers Inc | Anesthesiology | 2237 N Commerce Pkwy Ste 3, Weston, FL 33326-3250 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.