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Organization
OB-GYN ASSOCIATES OF MID FLORIDA PA
Active
Organization
OB-GYN ASSOCIATES OF MID FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED H MOFFETT JR. MD (PRESIDENT)
(352) 787-1535
Entity
Organization
Contact information
Practice address
601 E DIXIE AVE, MEDICAL PLAZA #401, LEESBURG, FL 34748-5953
(352) 787-1535
(352) 787-5310
Mailing address
601 E DIXIE AVE, MEDICAL PLAZA #401, LEESBURG, FL 34748-5953
(352) 787-1535
(352) 787-5310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
06/16/2008
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