Healthcare Provider Details
I. General information
NPI: 1245167964
Provider Name (Legal Business Name): ONYX HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
113 LISENBY DR
BONIFAY FL
32425-1303
US
IV. Provider business mailing address
506 S WAUKESHA ST STE 1
BONIFAY FL
32425-3002
US
V. Phone/Fax
- Phone: 850-329-1387
- Fax: 850-373-4870
- Phone: 850-329-1387
- Fax: 850-373-4870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOLLY
LANGFORD
Title or Position: OWNER
Credential: APRN
Phone: 850-849-3231