Individual
DR. AMANDA AMEN HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(313) 720-9777
Mailing address
237 HEATHERPOINT DR, LAKELAND, FL 33809-3902
(313) 720-9777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
163363
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
05/26/2024
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