Cook the shells just under al dente. Drain and cool.
Make the sauce: Melt butter in a skillet, whisk in flour. Add cream, milk, wine, garlic, Parmesan, Italian seasoning, salt, and pepper. Simmer until thickened.
Cook the seafood in the same skillet with a little butter until just opaque. Remove and cool slightly.
Mix the filling: Combine shrimp, lobster, crab, cream cheese, spinach, ½ cup mozzarella, Parmesan, Old Bay, salt, and pepper.
Stuff each shell with 1½–2 tablespoons of filling. Place in a baking dish over a layer of the cream sauce.
Top with sauce and cheese: Pour remaining sauce over shells and sprinkle remaining mozzarella.
Bake at 350°F covered with foil for 20 minutes. Uncover and bake 5–10 more minutes until bubbly and golden.