Organization
360 ORTHO AND SPINE LLC
Active
Organization
360 ORTHO AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA WATKINS (ADMINISTRATOR)
(833) 367-4968
Entity
Organization
Contact information
Practice address
8902 N DALE MABRY HWY STE 104, TAMPA, FL 33614-1579
(833) 367-4968
(833) 367-4968
Mailing address
8902 N DALE MABRY HWY STE 104, TAMPA, FL 33614-1579
(833) 367-4968
(833) 367-4968
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
05/04/2026
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