Neurosurgical Spine Institute LLC

NPI #1174166201 in Port Charlotte, Florida

Provider Information

NPI Number: 1174166201
Entity Type: Organization
Organization Name: Neurosurgical Spine Institute LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Oct 22, 2019
Last Updated: Jan 6, 2022

Practice Location

Address: 2484 CARING WAY UNIT C
City: Port Charlotte
State: Florida
ZIP Code: 33952-5306
Phone: (941) 483-4000

Authorized Official

Name: MARAT GRIGOROV
Title: MANAGER
Phone: (941) 483-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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