MEDICARE: ONYX MEDICAL, LLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1447042619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONYX MEDICAL, LLC

Provider Business Mailing Address
First Line	:	2100 ALOMA AVE STE 202
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-214-3051
Fax Number	:	407-214-6747

Provider Business Practice Location Address
First Line	:	2100 ALOMA AVE STE 202
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-214-3051
Fax Number	:	407-214-6747

Authorized Official
Title or Position	:	OWNER
Name	:	ADEDEJI A ONITIRI
Credential	:
Telephone Number	:	689-263-2422

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	02/26/2026

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