MEDICARE: ONYX CARE NETWORK 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	251B00000X	Case Management Agency
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1992668669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONYX CARE NETWORK LLC

Provider Business Mailing Address
First Line	:	4407 ATWATER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6824
Country	:	US
Telephone Number	:	813-599-3625
Fax Number	:	813-599-3625

Provider Business Practice Location Address
First Line	:	4407 ATWATER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-6824
Country	:	US
Telephone Number	:	813-599-3625
Fax Number	:	813-599-3625

Authorized Official
Title or Position	:	OWNER
Name	:	SHERIKA MARSHEA JOYCE
Credential	:
Telephone Number	:	813-599-3625

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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