# HEALTHCARE EXTRAORDINARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthcare ExtraOrdinare, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780273474
- **Authorized official:** DR. TANA ROBINSON APRN (DNP/APRN)
- **Authorized official phone:** (904) 613-3974

## Contact information

- **Practice address:** 3154 HIGHLAND GROVE DR, ORANGE PARK, FL 32065-6855
- **Practice address phone:** (904) 613-6974
- **Practice address fax:** (904) 375-2012
- **Mailing address:** 3154 HIGHLAND GROVE DR, ORANGE PARK, FL 32065-6855
- **Mailing address phone:** (904) 613-6974
- **Mailing address fax:** (904) 375-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2021
- **Last updated:** 03/02/2026