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Organization
INTEGRA NEURO PAIN INSTITUTE PA
Active
Organization
INTEGRA NEURO PAIN INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD MASOOM QURESHI (PHYSICIAN)
(863) 547-0788
Entity
Organization
Contact information
Practice address
5979 VINELAND RD STE 114, ORLANDO, FL 32819-7855
(863) 547-0788
(863) 547-0789
Mailing address
8297 CHAMPIONS GATE BLVD STE 463, CHAMPIONS GATE, FL 33896-8387
(863) 547-0788
(863) 547-0789
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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