M & B Sebastian LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Legal business name

M & B SEBASTIAN LLC

Doing business as

Green Space Health

Practice address

3310 W Cypress St Ste 207
Tampa, FL 33607-5038

Phone

(813) 374-2930

Fax

(813) 374-8455

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sebastian, DCNPI 1700384633

Title

Doctor of Chiropractic

Phone

(412) 608-4403

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Space Health Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Vincent Sebastian, DC

  • Chiropractor
  • Gibsonia, PA
  • NPI 1700384633

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1144928177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 GRAND SONATA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585618",
            "telephone_number": "412-608-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W CYPRESS ST STE 207",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075038",
            "telephone_number": "813-374-2930",
            "fax_number": "813-374-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & B SEBASTIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "412-608-4403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700384633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Space Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Space Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Wayne Lyter, MD
• Erika Elisabeth Lytle, DO
• Elise Lyver, PHARMD
• Selena Lyvers-Rouse
• M & B Dental Designs, LLC
• M & D Care, Inc. D/B/a Women'S Health Care (Women'S Health Care)
• M & H Hillsborough Center
• M & M Medical Clinic
• M & M Medical Clinic, LLC (First Care Walk-In Clinic)
• M & P Loving Adult Day Care LLC

• Nutrition Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.