Organization · Type 2 NPI

Broad Avenue Urgent Care

Urgent Care Clinic/Center · Gulfport, MS

NPI number 1164727285 Active

About NPI 1164727285

Broad Avenue Urgent Care's National Provider Identifier is 1164727285, issued on Jan 20, 2011. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Gulfport, MS. The record was last updated on Jul 6, 2011.