# OB-GYN ASSOCIATES OF MID FLORIDA PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831226026
- **Authorized official:** DR. ALFRED H MOFFETT JR. MD (PRESIDENT)
- **Authorized official phone:** (352) 787-1535

## Contact information

- **Practice address:** 601 E DIXIE AVE, MEDICAL PLAZA \#401, LEESBURG, FL 34748-5953
- **Practice address phone:** (352) 787-1535
- **Practice address fax:** (352) 787-5310
- **Mailing address:** 601 E DIXIE AVE, MEDICAL PLAZA \#401, LEESBURG, FL 34748-5953
- **Mailing address phone:** (352) 787-1535
- **Mailing address fax:** (352) 787-5310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 06/16/2008