Florida Good Health PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME86620 Issued in FL

Legal business name

FLORIDA GOOD HEALTH PLLC

Doing business as

Micanopy Health & Wellness

Practice address

504 NE Cholokka Blvd
Micanopy, FL 32667

Phone

(352) 466-4600

Fax

(352) 466-4617

NPI assigned

May 30, 2018

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon Hemstreet, MD

Title

President

Phone

(828) 390-1317

Specialties & licenses 1

Addresses

Other names 1

• Micanopy Health & Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1114419769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "MICANOPY",
            "state": "FL",
            "postal_code": "326670730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NE CHOLOKKA BLVD",
            "city": "MICANOPY",
            "state": "FL",
            "postal_code": "32667",
            "telephone_number": "352-466-4600",
            "fax_number": "352-466-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GOOD HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "HEMSTREET",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-390-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micanopy Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Abruscato
• Karen Benton Copelin
• Crystal Bowman
• Valerie Broas, LMT
• Sherry T. Gliesche, MA,MS, CCC/SLP
• Paula Goldberg, AP
• Lisa Hager
• Kelly Marie Johnston, RD
• Eric Lanham

• Family Medicine Physician in Micanopy, FL
• Providers in Micanopy, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.