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Deactivated NPI 1033350129 Deactivated / Inactive NPI Male Practitioner

Michael Broas , LMT

Massage Therapist • Micanopy, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Broas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 18, 2009
NPI Deactivation Date July 02, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Michael Broas, LMT was a registered Massage Therapist practicing in Micanopy, FL. Throughout an active medical career spanning 17 years, Michael Broas provided care at the practice location at 17921 SW WHITING ST until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

17921 Sw Whiting St

Micanopy, FL 326674123

Telephone 3523797891
Fax 3523818808

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Micanopy, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Micanopy, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA28964

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Valerie Broas , LMT

Massage Therapist

NPI 1740471994

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active March 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2009

Registered at 17921 SW WHITING ST, MICANOPY, FL 326674123 (Tel: 3523797891)

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Updated Business Mailing Address March 18, 2009

Registered at 17921 SW WHITING ST, MICANOPY, FL 326674123

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Provider Name / Credentials Updated March 18, 2009

Recorded as MICHAEL BROAS, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2009

Massage Therapist (License #MA28964 in FL)

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Initial NPI Registration & Enumeration March 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033350129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2009
Last Update: March 18, 2009
Deactivation Date: July 02, 2026

Mailing Address

17921 Sw Whiting St

Micanopy, FL 326674123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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