Provider Demographics
NPI:1528795747
Name:ALCIDE, RUTH GUILOUSE II (MD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:GUILOUSE
Last Name:ALCIDE
Suffix:II
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5072
Mailing Address - Country:US
Mailing Address - Phone:954-604-8301
Mailing Address - Fax:
Practice Address - Street 1:600 NW 38TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5072
Practice Address - Country:US
Practice Address - Phone:954-604-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1327-P.A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine