Organization
NEUROSURGICAL SPINE INSTITUTE LLC
Active
Organization
NEUROSURGICAL SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARAT GRIGOROV DO (OWNER)
(941) 483-4000
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD STE 15, PORT CHARLOTTE, FL 33952-5038
(941) 483-4000
(941) 480-1086
Mailing address
2400 HARBOR BLVD STE 15, PORT CHARLOTTE, FL 33952-5038
(941) 483-4000
(941) 480-1086
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
03/31/2026
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