Dr. Marat Grigorov
Neurosurgeon
333 Tamiami Trl S Ste 397
Venice
, Florida 34285-2442
Dr. Marat Grigorov
Neurosurgeon
333 Tamiami Trl S Ste 397
Venice
, Florida 34285-2442
(479) 757-2998
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Marat Grigorov
- 609 W Maple Ave
- Springdale, AR
- Zip : 72764-5335
- Fax : (479) 757-2998
- Phone : (479) 757-8099
Second Address
- Dr. Marat Grigorov
- 333 Tamiami Trl S Ste 397
- Venice, FL
- Zip : 34285-2442
- Fax : (941) 480-1086
- Phone : (941) 483-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | OS15600 | FL |
National Provider Identifier
| NPI | 1063613628 |
|---|---|
| Provider Name | Dr. Marat Grigorov |
| First Address | Springdale, AR 72764-5335 |
| Second Address | Venice, FL 34285-2442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2007 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.