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Organization

HEALTHCARE EXTRAORDINARE, LLC

Active
Other names
Healthcare ExtraOrdinare, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TANA ROBINSON APRN (DNP/APRN)
(904) 613-3974
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
01/16/2021
Last updated
03/02/2026
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