BLUE WATER PAIN SOLUTIONS, PA (NPI# 1386059517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386059517 |
| Entity Type | Organization |
| Organization Name | BLUE WATER PAIN SOLUTIONS, PA |
| Practice Address |
4850 W Oakland Park Blvd Suite 201 Lauderdale Lakes FL 33313-7260 |
| Mailing Address |
Po Box 277597 Miramar FL 33027-7597 |
| Practice Telephone | 9544475206 |
| Mailing Telephone | 9544475206 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | DR. LOWELL S. DAVIS (PRESIDENT) |
| Authorized Official Telephone | 9544475206 |
| Authorized Official Credential | D.O. |
| 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 |
| 1235533696 | Blue Water Pain Solutions, Pa | Anesthesiology | 4925 Sheridan St, Suite 200, Hollywood, FL 33021-2834 | 2014-10-14 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| Street Address |
4850 W OAKLAND PARK BLVD SUITE 201 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1891329868 | Melissa Valdes | Nurse Practitioner | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2020-02-27 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1740730688 | Richard B Polakoff Md Pa | Exclusive Provider Organization | 4850 W Oakland Park Blvd, Ste 143, Lauderdale Lakes, FL 33313-7260 | 2016-10-04 |
| 1043765837 | Ereny Hanna | Physical Therapist | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2016-08-22 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1417314204 | David Tiderman | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-25 |
| 1992162820 | Nader Henry | Pharmacist | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-22 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1457776809 | Florida United Radiology, Lc | Radiology | 4850 W Oakland Park Blvd, Suite 205, Lauderdale Lakes, FL 33313-7260 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| 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 |
|---|---|---|---|---|
| 1700917671 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 4850 W Oakland Park Blvd, Suite #201, Lauderdale Lakes, FL 33313-7260 | 2007-03-09 |
| 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 | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on BLUE WATER PAIN SOLUTIONS, PA.
| 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.