Organization
SARASOTA ORTHOPEDIC ASSOCIATES LLC
Active
Other names
360 Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BURKETT MATHER (CFO)
(941) 552-3318
Entity
Organization
Contact information
Practice address
5741 BEE RIDGE RD STE 400, SARASOTA, FL 34233-5062
(941) 951-2663
(941) 957-4437
Mailing address
2750 BAHIA VISTA ST, SUITE 100, SARASOTA, FL 34239-2600
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273705100
—
FL
Enumeration date
05/19/2015
Last updated
07/03/2024
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