# INTEGRA NEURO PAIN INSTITUTE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841106788
- **Authorized official:** MOHAMMAD MASOOM QURESHI (PHYSICIAN)
- **Authorized official phone:** (863) 547-0788

## Contact information

- **Practice address:** 5979 VINELAND RD STE 114, ORLANDO, FL 32819-7855
- **Practice address phone:** (863) 547-0788
- **Practice address fax:** (863) 547-0789
- **Mailing address:** 8297 CHAMPIONS GATE BLVD STE 463, CHAMPIONS GATE, FL 33896-8387
- **Mailing address phone:** (863) 547-0788
- **Mailing address fax:** (863) 547-0789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2026
- **Last updated:** 08/20/2026