Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neurosurgical Spine Institute LLC

Organization Neurological Surgery Physician · NPI 1174166201

Neurosurgical Spine Institute LLC is a Neurological Surgery Physician in Port Charlotte, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Harbor Blvd Ste 15
Port Charlotte, FL 33952-5038
Phone: (941) 483-4000
Fax: (941) 480-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1174166201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marat Grigorov — Owner · (941) 483-4000
NPI enumeratedOctober 22, 2019
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address2400 Harbor Blvd Ste 15, Port Charlotte, FL 33952-5038

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