Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Neurosurgical Spine Institute LLC

Organization Neurological Surgery Physician · NPI 1174166201

Neurosurgical Spine Institute LLC provides Neurological Surgery Physician services 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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