BLUE WATER PAIN SOLUTIONS, PA (NPI# 1922487636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922487636 |
| Entity Type | Organization |
| Organization Name | BLUE WATER PAIN SOLUTIONS, PA |
| Practice Address |
1951 Sw 172nd Ave Suite 212 Miramar FL 33029-5593 |
| Mailing Address |
Po Box 277597 Miramar FL 33027-7597 |
| Practice Telephone | 9544475206 |
| Mailing Telephone | 8004372672 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |
| Authorized Official Name | DR. LOWELL SCOTT 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 |
| 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 |
| 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 |
1951 SW 172ND AVE SUITE 212 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660757 | Jay Stuart Gottlieb | Dermatology | 1951 Sw 172nd Ave, Ste 416, Miramar, FL 33029-5615 | 2005-06-22 |
| 1548752488 | Leslie Allison Lewis | Registered Nurse | 1951 Sw 172nd Ave, Miramar, FL 33029 | 2018-06-06 |
| 1841741790 | Jeanette Hernandez | Midwife | 1951 Sw 172nd Ave, Miramar, FL 33029-5593 | 2016-10-16 |
| 1912450289 | Gousse Urology, LLC | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2016-08-03 |
| 1700251709 | Alice Batraville | Nurse Practitioner | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029 | 2015-12-02 |
| 1639559750 | Vivian Bilasano Md LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite312, Miramar, FL 33029-5593 | 2015-06-03 |
| 1255710604 | New Day Ob Gyn LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite 315, Miramar, FL 33029-5593 | 2015-05-19 |
| 1407253594 | Comprehensive Womens Center Corp | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Suite 301, Miramar, FL 33029-5593 | 2014-12-04 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| 1851705735 | Ashley Pardue-gomez | Nurse Practitioner | 1951 Sw 172nd Ave, 416, Miramar, FL 33029-5593 | 2014-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| 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 |
|---|---|---|---|---|
| 1861717092 | Paul E Roa | Anesthesiology | 1951 Sw 172nd Ave Ste 314, Miramar, FL 33029 | 2010-03-31 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| 1114907409 | Lowell Scott Davis | Anesthesiology | 1951 Sw 172nd Ave, #314, Miramar, FL 33029-5593 | 2006-01-20 |
| 1558341354 | Rosemary Daly | Anesthesiology | 1951 Sw 172nd Ave, #314, Miramar, FL 33029-5593 | 2006-01-18 |
| 1649252339 | Interventional Rehabilitation of South Florida, Inc. | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2005-11-17 |
| 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 |
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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.