Integra Neuro Pain Institute PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

INTEGRA NEURO PAIN INSTITUTE PA

Practice address

212 S Dixie Dr
Haines City, FL 33844-2801

Phone

(863) 547-0788

Fax

(863) 547-0789

NPI assigned

Jan 23, 2019

Last updated

Aug 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad Masoom Qureshi, MDNPI 1588002505

Title

President/Physician

Phone

(863) 547-0788

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Masoom Qureshi, M.D.

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Haines City, FL
  • NPI 1588002505
  Medicare reassignment Care Compare group NPD Authorized official
• Juan Pablo Pedroza Figueroa, APRN

  • Family Nurse Practitioner
  • Haines City, FL
  • NPI 1750170999
  Medicare reassignment Care Compare group NPD
• Felix N Dunkwu, PA-C

  • Physician Assistant
  • Melbourne, FL
  • NPI 1356483218
  Medicare reassignment Care Compare group
• Inga Jennings, APRN

  • Nurse Practitioner
  • Bartow, FL
  • NPI 1427602820

  Neurology

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1881158939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD STE 463",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S DIXIE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338442801",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 Vineland Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197855",
            "country_code": "US",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRA NEURO PAIN INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "MASOOM",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "863-547-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021662900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7816080001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.