OrganizationActive
Broad Avenue Urgent Care
NPI 1164727285 · Urgent Care Clinic/Center · Gulfport, MS
Provider details
- NPI number
- 1164727285
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronnie Ali, Owner(228) 314-1340
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1104 Broad Ave
Suite B
Gulfport, MS 39501-2414
Phone: (228) 314-1340
Fax: (228) 314-1342
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1248
Ocean Springs, MS 39566-1248
Registry dates
- Enumerated
- 2011-01-20
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.