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Individual

DR. ALFRED H MOFFETT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
174400000X
Specialist
Primary
ME0016264
FL

Other

Enumeration date
11/21/2005
Last updated
06/14/2010
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