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Broad Avenue Urgent Care, LLC

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Company Details

Name: Broad Avenue Urgent Care, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 19 May 2011 (14 years ago)
Business ID: 983488
State of Incorporation: MISSISSIPPI

Member

Name Role Address
Ronnie Ali Member 1104 Broad Ave. Gulfport, Ms 39501PO Box1248, Ocean Springs, MS 39566

Agent

Name Role Address
Ali, Ronnie Agent 1104 Broad Ave. Gulfport, Ms 39501;PO Box1248, Ocean Springs, MS 39566

National Provider Identifier

NPI Number:
1164727285

Authorized Person:

Name:
RONNIE ALI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2283141342

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2011-05-19 Formation

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website