MEDICARE: INTEGRAONE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization
2	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1366393712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRAONE LLC

Provider Business Mailing Address
First Line	:	1108 BELL SHOALS RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8813
Country	:	US
Telephone Number	:	813-359-8787
Fax Number	:	813-359-8788

Provider Business Practice Location Address
First Line	:	1108 BELL SHOALS RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8813
Country	:	US
Telephone Number	:	813-359-8787
Fax Number	:	813-359-8788

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. ELIAS FEANNY
Credential	:	MD
Telephone Number	:	305-519-5891

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “INTEGRAONE LLC ” Practice Location

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