Provider Demographics
NPI:1639825904
Name:AL-JAME, AMEENA E (HAS)
Entity Type:Individual
Prefix:
First Name:AMEENA
Middle Name:E
Last Name:AL-JAME
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 NW 43RD ST STE 10
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3677
Mailing Address - Country:US
Mailing Address - Phone:352-378-6300
Mailing Address - Fax:
Practice Address - Street 1:2047 NW 43RD ST STE 10
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3677
Practice Address - Country:US
Practice Address - Phone:352-378-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5622237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist