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1467108514
BROADWAY MEDICAL INNOVATION, LLC
MYRTLE BEACH, SC
NPI
1467108514
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Entity Type
Organization
Authorized Contact
VICTOR AGUIN MELENDEZ
Owner
800-294-7001
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
BROADWAY MEDICAL INNOVATION, LLC
3133 MARSH ISLAND DR
MYRTLE BEACH, SC 29579-5322
Phone number: 734-353-1272
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Mailing Address
BROADWAY MEDICAL INNOVATION, LLC
3133 MARSH ISLAND DR
MYRTLE BEACH, SC 29579-5322
Phone number:
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