Provider Demographics
NPI:1093264384
Name:FIRST RESORT HEALTH GROUP INC
Entity Type:Organization
Organization Name:FIRST RESORT HEALTH GROUP INC
Other - Org Name:ALCIDE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCIDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-639-4660
Mailing Address - Street 1:408 W UNIVERSITY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-3248
Mailing Address - Country:US
Mailing Address - Phone:352-639-4660
Mailing Address - Fax:352-388-9341
Practice Address - Street 1:408 W UNIVERSITY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-3248
Practice Address - Country:US
Practice Address - Phone:352-639-4660
Practice Address - Fax:352-388-9341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center