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General NPI Number Information
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NPI Number | 1740090935
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Entity Type | Organization
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Legal Business Name | ONYX MEDICAL & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1743 PARK CENTER DR STE 350
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City | ORLANDO
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State | FL
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Zip | 32835-7623
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Country | US
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Telephone | 321-710-0352
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Fax |
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Provider Business Mailing Address
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Address Line | 1743 PARK CENTER DR STE 350
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City | ORLANDO
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State | FL
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Zip | 32835-7623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | AKINYINKA AWOSIKA
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Credential |
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Telephone | 321-710-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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