Integra Neuro Pain Institute Pa
Neurology
212 S Dixie Dr, Haines City
Florida, 33844-2801
863-547-0788 863-547-0789
Integra Neuro Pain Institute Pa is a Neurology in Haines City, Florida. It is located at 212 S Dixie Dr, Haines City and it's customer support contact number is 863-547-0788. The authorized person of Integra Neuro Pain Institute Pa is Dr. Mohammad Masoom Qureshi, MD who is President/physician of this DME and his contact number is 863-547-0788. Integra Neuro Pain Institute Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Integra Neuro Pain Institute Pa is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
DME Supplier Details:
Integra Neuro Pain Institute Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Integra Neuro Pain Institute Pa |
| Type: | Neurology |
| Location: | 212 S Dixie Dr, Haines City,
Florida, 33844-2801 |
| Phone: | 863-547-0788 |
| Fax: | 863-547-0789 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mohammad Masoom Qureshi |
| Credentials: | MD |
| Position: | President/physician |
| Contact Number: | 863-547-0788 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1881158939 |
| NPI Enumeration Date: | 23 Jan, 2019 |
| NPI Last Update On: | 21 Aug, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Integra Neuro Pain Institute Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | | | Primary | |
| Pain Medicine | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 021662900 | Medicaid | Florida | |
| 7816080001 | Other | Florida | Dme |
Medicare Enrollment:
Integra Neuro Pain Institute Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6103153416 | O20191021001792 | Integra Neuro Pain Institute Pa | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8297 Champions Gate Blvd Ste 463,
Champions Gate, Florida |
| Zip: | 33896-8387 |
| Phone Number: | 863-547-0788 |
| Fax Number: | 863-547-0789 |
Patients can reach Integra Neuro Pain Institute Pa at
212 S Dixie Dr, Haines City, Florida or can
call on customer care at 863-547-0788.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.