OrganizationActive
Neurosurgical Spine Institute LLC
NPI 1174166201 · Neurological Surgery Physician · Port Charlotte, FL
Provider details
- NPI number
- 1174166201
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marat Grigorov, Owner(941) 483-4000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 Harbor Blvd Ste 15
Port Charlotte, FL 33952-5038
Phone: (941) 483-4000
Fax: (941) 480-1086
Street-level locationGet directions
Mailing address
2400 Harbor Blvd Ste 15
Port Charlotte, FL 33952-5038
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.