BLUE WATER PAIN SOLUTIONS PA NPI 1235533696

NPI Information

  • NPI: 1235533696
  • Provider Name: BLUE WATER PAIN SOLUTIONS, PA
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2052884
  • Address: 4925 SHERIDAN ST
    SUITE 200
    HOLLYWOOD, FL
    ZIP 33021
  • Phone: (954) 447-5206

Map and Directions

Get Directions

NPI Details

BLUE WATER PAIN SOLUTIONS, PA is a pain medicine anesthesiology in Hollywood, FL. The provider is 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. BLUE WATER PAIN SOLUTIONS, PA NPI is 1235533696. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4925 SHERIDAN ST
SUITE 200
HOLLYWOOD, FL
ZIP 33021-834
Phone: (954) 447-5206

The provider's authorized official is Lowell S. Davis .
The authorized official title is President and has the following contact phone number (954) 447-5206.

The CLIA number assigned to this NPI record is 10D2052884 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 10/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI