| Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA | |
| 
					851 Trafalgar Ct, Maitland, FL 32751-4132  | |
| (407) 667-0444 | |
| Not Available | 
| Full Name | Mrs Nicah Alicia Ambo Pechacek | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 851 Trafalgar Ct, Maitland, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093343675 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 9373151 (Florida) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11013562 (Florida) | Primary | 
| Entity Name | Sheridan Healthcorp Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355  | 
| Entity Name | Us Anesthesia Partners Of Florida Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594  | 
| Entity Name | Florida Pain Relief Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA 2453 Sweet Oak St, Ocoee, FL 34761-7607 Ph: (305) 519-1625  | Mrs Nicah Alicia Ambo Pechacek, DNP, CRNA 851 Trafalgar Ct, Maitland, FL 32751-4132 Ph: (407) 667-0444  | 
Sun Hee Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066  | |
Nairoby M. Hernandez-crespo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066  | |
Ashley E. Weider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066  | |
Danielle M. Odri-ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066  | |
Julie Anne Hillstrom, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 291 Southhall Ln, Maitland, FL 32751 Phone: 407-667-0444  | |
Andrew J. Houck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Winderley Pl Ste 115, Maitland, FL 32751 Phone: 407-581-9180 Fax: 865-560-7066  | |
Jason A. Tolton, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 851 Trafalgar Ct Ste 200e, Maitland, FL 32751 Phone: 888-339-8727  |