MYA INTERNAL MEDICINE, INC
NPI 1417739517
Clinic/Center - Health Service in Orlando, FL

Active since October 16, 2023CLIA 10D2327333 · Waiver
6718 LAKE NONA BLVD STE 120, ORLANDO, FL 32827(321) 400-0451 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 10, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Mya Internal Medicine, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYA INTERNAL MEDICINE, INC (NPI 1417739517) is a healthcare organization registered as a health service in Orlando, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Adalgiza Elena Costa Moron, Internal Medicine Director, as its authorized official.

NPPES Registry Identity

NPI1417739517
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMYA INTERNAL MEDICINE, INC
Location Address6718 LAKE NONA BLVD STE 120Orlando, FL 32827-7984
Mailing Address6886 Piazza Grande Ave Apt 1201Orlando, FL 32835-8776 · (407) 967-1579
Organization SubpartNo
Authorized OfficialAdalgiza Elena Costa MoronInternal Medicine Director · (407) 967-1579
Enumeration DateOctober 16, 2023
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
NPI 1417739517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
6718 LAKE NONA BLVD STE 120, Orlando, FL 32827

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2327333

Mya Internal Medicine Inc · Orlando, FL
Active · expires Jul 21, 2027
CLIA Number10D2327333
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorAdalgiza E. Costa
Laboratory Phone(321) 400-0451
Laboratory LocationMya Internal Medicine Inc6718 Lake Nona Blvd Suite 120, Orlando, FL 32839
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
6718 LAKE NONA BLVD STE 120
ORLANDO, FL 32827
Surgery
6718 LAKE NONA BLVD STE 120
ORLANDO, FL 32827
Surgery
6718 LAKE NONA BLVD STE 120
ORLANDO, FL 32827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mya Internal Medicine, Inc's NPI number?

The NPI number for Mya Internal Medicine, Inc is 1417739517. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Mya Internal Medicine, Inc located?

Mya Internal Medicine, Inc is located at 6718 Lake Nona Blvd Ste 120, Orlando, FL 32827. The listed phone number is (321) 400-0451.

What is Mya Internal Medicine, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Mya Internal Medicine, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327333) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mya Internal Medicine, Inc was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.