# M & B SEBASTIAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Space Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144928177
- **Authorized official:** DR. MICHAEL SEBASTIAN DC (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (412) 608-4403

## Contact information

- **Practice address:** 3310 W CYPRESS ST STE 207, TAMPA, FL 33607-5038
- **Practice address phone:** (813) 374-2930
- **Practice address fax:** (813) 374-8455
- **Mailing address:** 6025 GRAND SONATA AVE, LUTZ, FL 33558-5618
- **Mailing address phone:** (412) 608-4403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 08/24/2023
