Provider Demographics
NPI:1790135994
Name:FIRST RESORT HEALTH GROUP INC D/B/A ALCIDE CHIROPRACTIC
Entity Type:Organization
Organization Name:FIRST RESORT HEALTH GROUP INC D/B/A ALCIDE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
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 1:501 SW 75TH ST APT G4
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1703
Mailing Address - Country:US
Mailing Address - Phone:352-639-4660
Mailing Address - Fax:352-388-9341
Practice Address - Street 1:2727 NW 43RD ST
Practice Address - Street 2:SUITE 8
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6632
Practice Address - Country:US
Practice Address - Phone:352-639-4660
Practice Address - Fax:352-388-9381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-18
Last Update Date:2016-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center