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Note 11 - Income Taxes (Details Textual) - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Deferred Tax Asset Based Upon Expected Income Tax Rates $ 23,167,000    
Valuation Allowance Percentage 100.00%    
Operating Loss Carryforwards $ 42,395,000    
Income Tax Expense (Benefit), Total 0 $ 0  
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount $ 5,464,000 $ 5,500,000  
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent (3.00%) (3.00%)  
State and Local Jurisdiction [Member] | Florida Department of Revenue [Member]      
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount $ 0 $ 399,000  
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent 5.50% 3.535% 4.458%
Orphan Drug Credit [Member]      
Tax Credit Carryforward, Amount $ 10,354,000