Organization
M & B SEBASTIAN LLC
Active
Other names
Green Space Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SEBASTIAN DC (DOCTOR OF CHIROPRACTIC)
(412) 608-4403
Entity
Organization
Contact information
Practice address
3310 W CYPRESS ST STE 207, TAMPA, FL 33607-5038
(813) 374-2930
(813) 374-8455
Mailing address
6025 GRAND SONATA AVE, LUTZ, FL 33558-5618
(412) 608-4403
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700384633
NPI
—
Enumeration date
02/20/2023
Last updated
08/24/2023
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