Organization
BROADWAY MEDICAL INNOVATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR AGUIN MELENDEZ MD (OWNER)
(843) 655-0004
Entity
Organization
Contact information
Practice address
100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566
(843) 655-0004
Mailing address
4016 RIVER OAKS DR STE 6 PMB 178, MYRTLE BEACH, SC 29579-6674
(843) 655-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
04/22/2026
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