Organization
MYA INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADALGIZA ELENA COSTA MORON MD (INTERNAL MEDICINE DIRECTOR)
(407) 967-1579
Entity
Organization
Contact information
Practice address
6718 LAKE NONA BLVD STE 120, ORLANDO, FL 32827-7984
(321) 400-0451
Mailing address
6886 PIAZZA GRANDE AVE APT 1201, ORLANDO, FL 32835-8776
(407) 967-1579
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
06/10/2024
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