OrganizationActive
360 Ortho and Spine LLC
NPI 1972062685 · Orthopaedic Surgery of the Spine Physician · Tampa, FL
Provider details
- NPI number
- 1972062685
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Melissa Watkins, Administrator
Practice location
8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579
Phone: (833) 367-4968
Fax: (833) 367-4968
Mailing address
8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579
Registry dates
- Enumerated
- 2019-03-13
- Last updated
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.