# FLORIDA GOOD HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Micanopy Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114419769
- **Authorized official:** DR. JON HEMSTREET MD (PRESIDENT)
- **Authorized official phone:** (828) 390-1317

## Contact information

- **Practice address:** 504 NE CHOLOKKA BLVD, MICANOPY, FL 32667
- **Practice address phone:** (352) 466-4600
- **Practice address fax:** (352) 466-4617
- **Mailing address:** PO BOX 730, MICANOPY, FL 32667-0730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME86620 | FL | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 10/19/2018