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BLUE WATER PAIN SOLUTIONS, PA
NPI 1033513494
Anesthesiology - Pain Medicine in Fort Lauderdale, FL

Active since October 14, 2014CLIA 10D2052884 · Waiver
3000 BAYVIEW DR, FORT LAUDERDALE, FL 33306(954) 447-5206 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blue Water Pain Solutions, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER PAIN SOLUTIONS, PA (NPI 1033513494) is a healthcare organization registered as a pain medicine in Fort Lauderdale, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Lowell S. Davis, President, as its authorized official.

NPPES Registry Identity

NPI1033513494
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameBLUE WATER PAIN SOLUTIONS, PA
Location Address3000 BAYVIEW DRFort Lauderdale, FL 33306-1772
Mailing AddressPo Box 277597Miramar, FL 33027-7597 · (800) 437-2672
Phone(954) 447-5206
Organization SubpartNo
Authorized OfficialLowell S. DavisPresident · (954) 447-5206
Enumeration DateOctober 14, 2014
✔ NPI 1033513494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
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.
3000 BAYVIEW DR, Fort Lauderdale, FL 33306
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2052884

Blue Water Pain Solutions · Lauderdale Lakes, FL
Active · expires Jan 21, 2027
CLIA Number10D2052884
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorLowell S. Davis
Laboratory Phone(954) 447-5206
Laboratory LocationBlue Water Pain Solutions4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE AUSTIN MINNICK PA-C
Physician Assistant
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 567-1332
PETRINE FARDETTE PA C
Physician Assistant (Surgical)
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 567-1332
GABRIELLA ZURINA LOPEZ
Physician Assistant
3000 BAYVIEW DR
FT LAUDERDALE, FL 33306
Broward County (954) 567-1332
MR. AARON RICHARD SANTISO MPT, PES, CLT
Physical Therapist
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 533-5543
MARIE-ALTAGRACE VANESSA GERMAIN
Nurse Practitioner (Family)
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 567-1332
AUSTIN BRUHL DPT
Physical Therapist
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 533-5543
MS. LAUREN JENNIE WINSTEN PA-C
Physician Assistant
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 567-1332
CANTOR SPINE INSTITUTE LLC
Orthopaedic Surgery
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306
Broward County (954) 567-1332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Pain Solutions, PA's NPI number?

The NPI number for Blue Water Pain Solutions, PA is 1033513494. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Blue Water Pain Solutions, PA located?

Blue Water Pain Solutions, PA is located at 3000 Bayview Dr, Fort Lauderdale, FL 33306. The listed phone number is (954) 447-5206.

What is Blue Water Pain Solutions, PA's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Blue Water Pain Solutions, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2052884) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Water Pain Solutions, PA was last updated on October 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.