Florida Good Health Pllc | |
504 Ne Cholokka Blvd Micanopy FL 32667 | |
(352) 466-4600 | |
(352) 466-4617 |
Full Name | Florida Good Health Pllc |
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Speciality | Family Medicine |
Location | 504 Ne Cholokka Blvd, Micanopy, Florida |
Authorized Official Name and Position | Jon Hemstreet (PRESIDENT) |
Authorized Official Contact | 8283901317 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Florida Good Health Pllc Po Box 730 Micanopy FL 32667-0730 Ph: () - | Florida Good Health Pllc 504 Ne Cholokka Blvd Micanopy FL 32667 Ph: (352) 466-4600 |
NPI Number | 1114419769 |
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Provider Enumeration Date | 05/30/2018 |
Last Update Date | 10/19/2018 |
Identifier | Type | State | Issuer |
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1114419769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | ME86620 (Florida) | Primary |