Organization · Type 2 NPI

Neurosurgical Spine Institute LLC

Neurological Surgery Physician · Port Charlotte, FL

NPI number 1174166201 Active

Practice location

2400 Harbor Blvd Ste 15
Port Charlotte, FL 33952-5038

Fax (941) 480-1086

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1174166201

Neurosurgical Spine Institute LLC's National Provider Identifier is 1174166201, issued on Oct 22, 2019. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Mar 31, 2026.