Note 21 - Reportable Segements - Assets (Details) - USD ($)	Sep. 30, 2023	Dec. 31, 2022
Total Assets	$ 66,195,187	$ 28,642,048
Operating Segments [Member] | E-Commerce [Member]
Total Assets	36,395,131
Operating Segments [Member] | Healthcare Operations [Member]
Total Assets	41,264,995
Consolidation, Eliminations [Member]
Total Assets	$ (11,464,939)