Integra Neuro Pain Institute Pa
LBN: Integra Neuro Pain Institute Pa
Integra Neuro Pain Institute Pa is an health care organization with primary practice located at 5979 Vineland Rd Ste 114 , Orlando FL 32819-7855. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Integra Neuro Pain Institute Pa can be contacted via phone (863) 547-0788, or through Qureshi, Mohammad Masoom via phone (863) 547-0788.
Contact Information
Primary practice address
5979 Vineland Rd Ste 114
Orlando FL 32819-7855
Phone: (863) 547-0788
Fax: (863) 547-0789
Website:
Authorized official contact:
Name: Qureshi, Mohammad Masoom Doctor of Medicine (MD)
Phone: (863) 547-0788
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X |
Profile Details
| NPI number | 1881158939 |
|---|---|
| LBN Legal business name | Integra Neuro Pain Institute Pa |
| DBA Doing business as | |
| Authorized official | Qureshi, Mohammad Masoom Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2019 |
| Last updated | Apr 17th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881158939 | NPPES |
| Florida | MEDICAID | 021662900 |
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