Healthcare Provider Details

I. General information

NPI: 1992635288
Provider Name (Legal Business Name): SACHAKA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 STERTHAUS DR
ORMOND BEACH FL
32174-5128
US

IV. Provider business mailing address

598 STERTHAUS DR
ORMOND BEACH FL
32174-5128
US

V. Phone/Fax

Practice location:
  • Phone: 386-229-3303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA CARBIENER
Title or Position: PRESIDENT
Credential: MD
Phone: 386-295-4992