MEDICARE: ONYX MEDICAL GROUP OF FLORIDA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1558217935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONYX MEDICAL GROUP OF FLORIDA PLLC

Provider Business Mailing Address
First Line	:	2350 CYPRESS POND RD APT 1613
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1507
Country	:	US
Telephone Number	:	629-326-0415
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 CYPRESS POND RD APT 1613
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-1507
Country	:	US
Telephone Number	:	629-326-0415
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SABITHA HUDEK
Credential	:	MD
Telephone Number	:	615-289-6732

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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