Petr Marcan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

54031 Issued in FL

Practice address

6405 Initiative Blvd # 113
Sarasota, FL 34240-1249

Phone

(941) 376-2343

NPI assigned

Apr 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1144015231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8783 LANCELOT AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 INITIATIVE BLVD # 113",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401249",
            "telephone_number": "941-376-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCAN",
        "first_name": "PETR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "54031",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA54031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynn Mara, RN
• Lindy Ann Maracic, CRNA
• Marathon Health LLC
• Maravida Sarasota MGT LLC
• Marc a Grinberg MD PA
• Robert G Marcantonio, MD
• Diane I Marcello
• Yanier Luis Marcelo Vargas
• Cristy Marceus
• Janice March, LMHC

• Massage Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.