Organization Active NPI

360 Ortho and Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
National Provider Identifier
1972062685
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
360 ORTHO AND SPINE LLC
Practice address
8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579
Phone
(833) 367-4968
Fax
(833) 367-4968
NPI assigned
Mar 13, 2019
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa Watkins
Title
Administrator
Phone
(833) 367-4968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579

Mailing address

8902 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-1579
Phone (833) 367-4968

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwatkins@360orthoandspine.com Direct

National Provider Directory

National Provider Directory
Part of
360 Ortho and Spine LLC

Locations

8902 N Dale Mabry Hwy
Ste 104
Tampa, FL 33614
Phone (813) 574-7034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1972062685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N DALE MABRY HWY STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141579",
            "telephone_number": "833-367-4968",
            "fax_number": "833-367-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N DALE MABRY HWY STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141579",
            "telephone_number": "833-367-4968",
            "fax_number": "833-367-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 ORTHO AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "833-367-4968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwatkins@360orthoandspine.com",
            "affiliation": "N",
            "endpointDescription": "Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8902 N Dale Mabry Hwy Ste 104",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336141579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.