| NPI | 1780273474 |
|---|---|
| Doing Business As | HEALTHCARE EXTRAORDINARE, LLC |
| Entity Type | Organization |
| Authorized Contact | TANA ROBINSON Dnp/Ap RN 904-613-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |