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Michael Broas, LMT
Massage Therapist in Micanopy, Florida
NPI 1033350129

Michael Broas is a Massage Therapist based in Micanopy, FL. Michael Broas practices in Micanopy, FL and has the professional credentials of LMT. The NPI Number for Michael Broas is 1033350129 and holds a License No. MA28964 (Florida).

The current practice location address for Michael Broas is 17921 Sw Whiting St, Micanopy, FL and can be reached out via phone at 352-379-7891 and via fax at 352-381-8808.

Location: 17921 Sw Whiting St, Micanopy, FL, 32667-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033350129
Provider Name
Michael Broas
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
17921 Sw Whiting St, Micanopy, FL, 32667-4123
Phone Number
352-379-7891
Fax Number
352-381-8808
Provider Enumeration Date
03/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C 1568 01 FL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
17921 Sw Whiting St
City
Micanopy
State
Florida
Zip
32667-4123
Phone Number
352-379-7891
Fax Number
352-381-8808
person
Provider Business Mailing Address Details
Address
17921 Sw Whiting St
City
Micanopy
State
Florida
Zip
32667-4123
Phone Number
352-379-7891
Fax Number
352-381-8808
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA28964 (Florida)
Definition
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.
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