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Availability last updated 02/21/2026
Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida.
Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute.
Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times.
A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.
When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.
Dr. Mark Perenich, DO
Orthopedic Surgeon
36739 County Rd. 52
Suite 103
Dade City, FL 33525
Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.
As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.
Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.
In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.
Mrs. Ashley Perenich, PA-C
Orthopedic Surgeon
36739 County Rd. 52
Suite 103
Dade City, FL 33525
Michael Clare, MD, is a board-certified orthopedic surgeon and foot and ankle surgery specialist at 360 Orthopedics in Sarasota, Venice, and Lakewood Ranch, Florida.
Dr. Clare attended Gustavus Adolphus College in Minnesota where he earned his bachelor’s degree in biology. He then attended the University of Nebraska College of Medicine for his medical degree. He completed his orthopaedic surgery residency at the University of Nebraska Medical Center, followed by a foot and ankle surgery/lower extremity trauma fellowship at Florida Orthopaedic Institute.
Dr. Clare specializes in foot and ankle surgery and lower extremity trauma/reconstruction, including ankle replacement. He served as Assistant Professor at the University of Nebraska, Department of Orthopaedic Surgery from 2002-2005. In 2005 he returned to Tampa to join the Florida Orthopaedic Institute (FOI) where he practiced and served as Director of Fellowship Education, and later Fellowship Director for the FOI Foot and Ankle Fellowship until December 2018.
He returned to his hometown of Lincoln, Nebraska in January 2019, and worked for Nebraska Orthopaedic and Sports Medicine, before returning to Florida to join 360 Orthopedics. He remains Course Director for the Current Solutions in Foot & Ankle Surgery Course held annually in Tampa since 2008. He has presented lectures and research at over 100 meetings and instructional courses, and has published over 70 research articles, book chapters, and abstracts. He has been included on the list of Best Doctors in America since 2011. Dr. Clare is married with three grown children, and is an avid golfer.
Dr. Michael Clare, MD
Orthopedic Surgeon
5504 Pinebrook Rd
Suite 201
Venice, FL 34275
Dr. Gregory Farino, MD, is an orthopedic surgeon specializing in hand and wrist conditions. He completed a Hand and Upper Extremity Fellowship at the University of Pittsburgh and an Orthopedic Surgery Residency at Penn State University–Milton S. Hershey Medical Center. Dr. Farino earned his medical degree from Temple University School of Medicine, where he graduated AOA, and completed his undergraduate education at DeSales University, graduating magna cum laude with a Bachelor of Science in Biology.
Dr. Farino is an affiliate provider with 360 Orthopedics, where he sees patients in the Sarasota and Lakewood Ranch offices, and performs procedures at Premier Surgery Center. His clinical focus includes the evaluation and treatment of a wide range of hand and wrist conditions, with treatment plans tailored to each patient’s needs and goals. Outside of medicine, Dr. Farino enjoys ancient Greek and Roman history, physical fitness, and traveling.
Dr. Gregory Farino, MD
Hand Surgeon
5504 Pinebrook Rd
Suite 201
Venice, FL 34275
Julie Barré, MD, is a board-certified orthopedic surgeon and sports medicine provider at 360 Orthopedics in Sarasota, Venice, and Lakewood Ranch, Florida.
Dr. Barré earned her Bachelor of Science in physical education at Florida State University, before earning her Bachelor of Science in physical therapy from Florida A&M University. She then earned her medical degree at the Florida State University College of Medicine. She completed an orthopedic surgery residency at the Medical College of Georgia, followed by a sports medicine fellowship at Hughston Clinic.
Dr Barré specializes in the non-operative and operative treatment of general orthopedic conditions and injuries. During her time in residency and fellowship, Dr Barré acted as team physician for collegiate basketball teams, high school football teams, and a professional hockey team. She was team physician for Orange Park High School football team and organized community-wide free high school physicals in Jacksonville. She served as Chairperson of Orthopedics and has been on the teaching faculty in Orthopedics for Family Practice residents.
A native of Tallahassee, Dr Barré now resides in Sarasota with her husband and two children. Her interests include exercise, golf, cooking, travel, kayaking, stand up paddle boarding, and beach activities with her family. With her background as a former physical therapist, she realizes the importance of a team relationship with her patients and supports open communication to return them to their normal function.
Dr. Julie Barre, MD
Orthopedic Surgeon
5504 Pinebrook Rd
Suite 201
Venice, FL 34275
Jeffrey A. Silverstein, MD, is a board-certified orthopedic surgeon and hip and knee reconstruction specialist at 360 Orthopedics in Sarasota, Venice, and Lakewood Ranch, Florida. He specializes in general orthopedics and joint replacement.
Dr. Silverstein earned his Bachelor of Science in biology at Indiana University. He then attended medical school at West Virginia University School of Medicine. He completed his orthopedic residency at the University of Illinois/Chicago Medical Center, followed by a hip and knee reconstruction fellowship at Florida Orthopedic Institute.
As an advocate for improving the quality of life for his patients, Dr. Silverstein believes that open communication between physicians and patients is key to successful outcomes. He is trained in the latest techniques for orthopedic care of hip and knee replacements, including direct anterior hip replacements and traumatic fractures. His patients are offered both surgical and non-surgical options. When surgery is necessary, Dr. Silverstein may perform less invasive techniques including muscle-sparing incisions, partial knee replacements, robotic-assisted technology, and custom patient-specific implants.
Dr. Silverstein hails from West Virginia, now living in Florida with his wife and two children. He enjoys staying active with cross-training, cycling, tennis, skiing, golf, and international travel.
Dr. Jeffrey Silverstein, MD
Orthopedic Surgeon
5504 Pinebrook Rd
Suite 201
Venice, FL 34275
Mark Nicholas Perenich, DO, is an accomplished, board-certified orthopedic spine surgeon at the Spine Institute of Florida, formerly Tampa Back Institute, with locations in Crystal River, Dade City, Spring Hill, and Tampa, Florida.
Specializing in minimally invasive spine surgery techniques, Dr. Perenich obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Pennsylvania. Later, he completed his residency in Orthopedic Surgery at the Largo Medical Center in Florida. He then completed a fellowship in Spine Surgery at the prestigious Texas Back Institute.
Dr. Perenich is passionate about treating patients with spine-related conditions and is dedicated to providing the highest quality of care. He is known for his expertise in minimally invasive techniques, which help to reduce pain, minimize scarring, and shorten recovery times.
A member of several professional organizations, including the AOA Board of Orthopedic Surgery and the American Osteopathic Association, Dr. Perenich has authored several publications and presentations related to spine surgery and is committed to staying at the forefront of advancements in his field.
When not in the operating room, Dr. Perenich enjoys spending time with his family, traveling, and participating in outdoor activities such as wake surfing and boating.
Dr. Mark Perenich, DO
Orthopedic Surgeon
8824 Bellagio Drive
Trinity , FL 34655
Ashley Perenich is a highly skilled Physician Assistant at the Spine Institute of Florida, where she works closely with Dr. Nicholas Perenich and the rest of the surgical team to provide exceptional care to patients. Ashley earned her Master of Medical Science in Physician Assistant Studies from University of South Florida’s Morsani College of Medicine and has since specialized in orthopedics and spine surgery.
As a Physician Assistant, Ashley is responsible for performing physical exams, diagnosing and treating injuries and illnesses, ordering and interpreting diagnostic tests, and assisting in surgical procedures. She is passionate about helping patients understand their condition and treatment options, and works closely with them to develop personalized treatment plans that meet their unique needs.
Ashley is a member of several professional organizations, including the Florida Academy of Physician Assistants and the American Academy of Physician Assistants. She is committed to staying up-to-date on the latest advancements in her field through continuing education and attending conferences and seminars.
In her free time, Ashley enjoys traveling, yoga, wakesurfing, and spending time with her husband, Dr. Nicholas Perenich, and their family.
Mrs. Ashley Perenich, PA-C
Orthopedic Surgeon
8824 Bellagio Drive
Trinity , FL 34655