SOAR MEDICINE (NPI# 1174065155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174065155 |
| Entity Type | Organization |
| Organization Name | SOAR MEDICINE |
| Practice Address |
7560 Red Bug Lake Rd Suite 2014 Oviedo FL 32765 |
| Mailing Address |
7560 Red Bug Lake Rd Ste 2010 Oviedo FL 32765-6591 |
| Practice Telephone | 4079515833 |
| Mailing Telephone | 4079515833 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | NAGI YOUSSEF (OWNER) |
| Authorized Official Telephone | 3213561454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Aventus Pain and Spine | Doing Business As Name - Organization |
| S.O.A.R. Medicine | Doing Business As Name - Organization |
| Street Address |
7560 RED BUG LAKE RD SUITE 2014 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497705131 | Perri L Dumbacher | Family Medicine | 7560 Red Bug Lake Rd, Suite 2048, Oviedo, FL 32765-6591 | 2006-05-11 |
| 1881021517 | Lourdes Dialysis LLC | Clinic/Center | 7560 Red Bug Lake Rd, Ste 1048, Oviedo, FL 32765-6591 | 2013-09-26 |
| 1508113895 | Carcamo Pediatrics, Inc | Pediatrics | 7560 Red Bug Lake Rd, Suite 1070, Oviedo, FL 32765-6591 | 2012-08-06 |
| 1083868202 | Miguel J. Morales, M.d., P.a. | Psychiatry & Neurology | 7560 Red Bug Lake Rd, Ste 2050, Oviedo, FL 32765-6591 | 2008-11-14 |
| 1205090974 | Jonathan Winston Phillips | Family Medicine | 7560 Red Bug Lake Rd, Oviedo, FL 32765-6591 | 2008-07-11 |
| 1740399799 | Antonio De Jesus Carcamo | Pediatrics | 7560 Red Bug Lake Rd, Suite# 1070, Oviedo, FL 32765-6591 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750823894 | S.o.a.r Sport Medicine LLC | Pain Medicine | 7560 Red Bug Lake Rd Ste 2014, Oviedo, FL 32765-6562 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.