Organization
MYA INTERNAL MEDICINE, INC
Active
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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