Organization
TOTAL P.I.C.C. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GAY FORTNEY RN (PRESIDENT)
(800) 496-6080
Entity
Organization
Contact information
Practice address
1309 SE 1ST TERRACE, DEERFIELD BEACH, LA 33441-6701
(800) 496-6080
(954) 531-1504
Mailing address
2436 NORTH FEDERAL HWY, 217, LIGHTHOUSE POINT, FL 33064-6853
(800) 496-6080
(954) 531-1504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2634552
FL
163WH0200X
Home Health Registered Nurse
RN2634552
FL
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN2634552
FL
Other
Enumeration date
09/14/2006
Last updated
09/11/2025
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