Organization
PICC LINES PLUS LLC
Active
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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