| Florida Good Health Pllc | |
|
504 Ne Cholokka Blvd Micanopy FL 32667 | |
| (352) 466-4600 | |
| (352) 466-4617 |
| Full Name | Florida Good Health Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114419769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME86620 (Florida) | Primary |