Neurosurgical Spine Institute LLC
Neurological Surgery in Port Charlotte, FL. Organization (NPI-2).
NPI number1174166201
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1174166201
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurosurgical Spine Institute LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2019
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
2400 Harbor Blvd Ste 15Port Charlotte, FL 33952-5038
Phone 941-483-4000 · Fax 941-480-1086
Mailing address
2400 Harbor Blvd Ste 15Port Charlotte, FL 33952-5038
Phone 941-483-4000 · Fax 941-480-1086
Authorized official
Marat Grigorov
Owner
9414834000
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