Organization
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Active
Other names
360 Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BURKETT MATHER CPA (CFO)
(941) 552-3318
Entity
Organization
Contact information
Practice address
5504 PINEBROOK RD STE 201, NOKOMIS, FL 34275-3745
(941) 552-3318
Mailing address
5741 BEE RIDGE RD STE 400, SARASOTA, FL 34233-5062
(941) 951-2663
(941) 957-4437
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061701600
—
FL
Enumeration date
03/23/2006
Last updated
07/03/2024
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