Individual
MRS. NICAH ALICIA AMBO PECHACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
851 TRAFALGAR CT, MAITLAND, FL 32751-4132
(407) 667-0444
Mailing address
2453 SWEET OAK ST, OCOEE, FL 34761-7607
(305) 519-1625
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9373151
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11013562
FL
Other
Enumeration date
03/30/2020
Last updated
08/07/2024
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