S.O.a.R Sport Medicine LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

S.O.A.R SPORT MEDICINE LLC

Doing business as

Aventus Pain and Spine

Practice address

7560 Red Bug Lake Rd Ste 2010
Oviedo, FL 32765-6591

Phone

(407) 951-5833

Fax

(888) 972-3696

NPI assigned

Nov 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nagi Youssef

Title

Manager

Phone

(321) 283-6175

Specialties & licenses 1

Addresses

Other names 1

• Aventus Pain and Spine Doing business as

Tax ID family

Aventus Pain and Spine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soar Medicine

  • Interventional Pain Medicine Physician
  • Oviedo, FL
  • NPI 1174065155
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1750823894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 RED BUG LAKE RD STE 2014",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656562",
            "telephone_number": "407-951-5833",
            "fax_number": "888-972-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 RED BUG LAKE RD STE 2010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656591",
            "telephone_number": "407-951-5833",
            "fax_number": "888-972-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.O.A.R SPORT MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "NAGI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-283-6175",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aventus Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duval Russell, LPTA
• Christine Claudia Rutayisire, APRN
• Catherine Rutter, LMHC
• RX Development Associates, Inc.
• John Ryder, MD
• Soraya Sackaloo, OT
• Peter S Sadek, RPH
• Sage Dental of Oviedo PLLC
• Mallerie Sailer, MS, LMHC
• Saint Apollonia PLLC (Everest Dental)

• Interventional Pain Medicine Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.