# SARASOTA ORTHOPEDIC ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 360 Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013976422
- **Authorized official:** MARY BURKETT MATHER CPA (CFO)
- **Authorized official phone:** (941) 552-3318

## Contact information

- **Practice address:** 5504 PINEBROOK RD STE 201, NOKOMIS, FL 34275-3745
- **Practice address phone:** (941) 552-3318
- **Mailing address:** 5741 BEE RIDGE RD STE 400, SARASOTA, FL 34233-5062
- **Mailing address phone:** (941) 951-2663
- **Mailing address fax:** (941) 957-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 07/03/2024