Organization
PICC LINES PLUS LLC
Active
Other names
PICC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALAN LARIVIERE (CHIEF COMPLIANCE OFFICER)
(502) 676-2318
Entity
Organization
Contact information
Practice address
2900 N MILITARY TRL STE 246, BOCA RATON, FL 33431-6362
(561) 736-5161
Mailing address
41 SPRING ST STE 103B, NEW PROVIDENCE, NJ 07974-1143
(866) 776-6782
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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