| Entity Name: | M & B SEBASTIAN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Aug 2022 (2 years ago) |
| Document Number: | L22000384152 |
| FEI/EIN Number | 85-0935617 |
| Address: | 6025 GRAND SONATA AVE., LUTZ, FL, 33558 |
| Mail Address: | 6025 GRAND SONATA AVE., LUTZ, FL, 33558 |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144928177 | 2023-02-20 | 2023-08-24 | 6025 GRAND SONATA AVE, LUTZ, FL, 335585618, US | 3310 W CYPRESS ST STE 207, TAMPA, FL, 336075038, US | |||||||||||||||||||||
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| Phone | +1 412-608-4403 |
| Phone | +1 813-374-2930 |
| Fax | 8133748455 |
Authorized person
| Name | DR. MICHAEL SEBASTIAN |
| Role | DOCTOR OF CHIROPRACTIC |
| Phone | 4126084403 |
Taxonomy
| Taxonomy Code | 111NN1001X - Nutrition Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1700384633 |
| Name | Role | Address |
|---|---|---|
| SEBASTIAN MICHAEL | Agent | 6025 GRAND SONATA AVE., LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| SEBASTIAN MICHAEL | Authorized Member | 6025 GRAND SONATA AVE., LUTZ, FL, 33558 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000024077 | GREEN SPACE HEALTH | ACTIVE | 2023-02-21 | 2028-12-31 | No data | 6025 GRAND SONATA AVE, LUTZ, FL, 33558 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-02-20 |
| Florida Limited Liability | 2022-08-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
