=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245167964
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONYX HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2026
-----------------------------------------------------
Last Update Date | 05/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 113 LISENBY DR
-----------------------------------------------------
City | BONIFAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32425-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-329-1387
-----------------------------------------------------
Fax | 850-373-4870
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 506 S WAUKESHA ST STE 1
-----------------------------------------------------
City | BONIFAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32425-3002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-329-1387
-----------------------------------------------------
Fax | 850-373-4870
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HOLLY LANGFORD
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 850-849-3231
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------