Organization
S.O.A.R SPORT MEDICINE LLC
Active
Other names
Aventus Pain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGI YOUSSEF (MANAGER)
(321) 356-1454
Entity
Organization
Contact information
Practice address
7560 RED BUG LAKE RD STE 2010, OVIEDO, FL 32765-6591
(407) 951-5833
(888) 972-3696
Mailing address
7560 RED BUG LAKE RD STE 2014, OVIEDO, FL 32765-6562
(407) 951-5833
(888) 972-3696
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/28/2023
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