Application for Massage Establishment Change of Name and/or Location


Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Licensed Massage Establishment (Change of Name and/or Location).

Before submitting a change of name/location application, be sure a change of ownership has not taken place. The following changes are examples of a change of ownership:

  • A license originally issued to an individual (sole proprietor), where the individual has changed.
  • A license originally issued to an individual (sole proprietor) which now operates under a Limited Liability Company or Corporation.
  • A license originally issued to a partnership where the partners have changed.
  • A license issued to a Limited Liability Company whose members have changed.
  • A license issued to a Corporation which has dissolved and reincorporated.

If a change of ownership has taken place, you will need to complete an Application for Massage Establishment License.

Change of Name

  • Fictitious Name Registration for any “doing business as” (D/B/A) name. If you provide a D/B/A and intend to advertise under a name that is not the name of your partnership, corporation or limited liability company you will be required to provide your registration.
    Fictitious name registration will be verified with the Division of Corporations.

Change of Location or Change of Name and Location

  • Fictitious Name Registration for any “doing business as” (D/B/A) name. If you provide a D/B/A and intend to advertise under a name that is not the name of your partnership, corporation or limited liability company you will be required to provide your registration.
    Fictitious name registration will be verified with the Division of Corporations.
  • Personal injury and bodily liability insurance for your establishment. You will need to submit a copy of your insurance documentation showing coverage at your establishment location to meet this requirement.

Applicants with Criminal History

Any applicant who has ever been found guilty of, or pled guilty or no contest/nolo contendre to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.

The Board of Massage Therapy has created guidelines for specific offenses to be cleared in the board office; however, staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Massage Therapy for review. Evidence of rehabilitation is important to the board members when making licensure decisions.

Applicants with prior criminal convictions are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Letters of Recommendation – Applicants who have listed offenses on the application must submit 3-5 professional letters of recommendation from people you have worked for or with.

Applicants with Discipline History

Applicants who have ever been denied licensure, had disciplinary action taken against their license, or have action pending against their license to practice any health care related profession by a licensing authority are required to submit the following documentation to the board:

Self-Explanation – Applicants who have listed disciplinary action on the application must submit a letter in your own words describing the circumstances of the action.

Agency Records – All relevant documentation regarding the action should be sent to the board office by the licensing agency. If the records are not available, you must have a letter on agency letterhead sent from the licensing agency attesting to their unavailability.

Applicants with Health History

Applicants who answer yes to any of the health history questions on the application are required to submit the following documentation to the board:

Self-Explanation – Applicants must submit a letter in your own words describing the circumstances. Include a description of all treatments and diagnoses you received for any condition/impairment you were treated for. Include all medications prescribed and all physicians/counselors seen. Evidence of rehabilitation is important to the board members when making licensure decisions.

Physician(s) Letter – Applicants must submit a statement from your treating physician/ counselor for each condition you are/were being treated for and whether or not you are able to practice massage therapy. Include all DSM IIIR/ DSM IV, Axis I, II, and III diagnoses.

Health Care Fraud; Disqualification for License, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    1. For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    2. For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    3. For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.

Change of Name Only

  • Submit your application, fee payment, and supporting documentation.
    Your application and fee payment may be submitted online, or by mail.

Applications submitted without fees will not be processed.
 For more information on how to submit fee payment for an application that has already been submitted, see our “How Do I…?”.

  • Submit any additional documentation, if required.
    If additional documentation is required, you will receive correspondence which includes a list of all items which are needed to complete your application. If you provided an email address, this correspondence will be sent to the email address on your application.

Once your change of name has been processed, you will receive an updated license by mail.

Change of Location or Change of Name and Location

  • Submit your application, fee payment, and supporting documentation.
    Your application and fee payment may be submitted online, or by mail.

Applications submitted without fees will not be processed.
 For more information on how to submit fee payment for an application that has already been submitted, see our “How Do I…?”.

  • Submit any additional documentation, if required.
    If additional documentation is required, you will receive correspondence which includes a list of all items which are needed to complete your application. If you provided an email address, this correspondence will be sent to the email address on your application.
  • Pass an inspection.
    Once your application is complete, staff will notify you that your establishment has been flagged for inspection. Ensure that the physical address, establishment name, and D/B/A of your establishment (if applicable) in the notification are correct. If there are inaccuracies, follow the directions in the notification.

Inspection timeframes may vary based on the location of your establishment. You do not need to contact board staff to schedule your inspection – a field inspector in your region will contact you at the phone number listed on your application.

Once your change of name/location has been processed, you will receive an updated license by mail.

You may not operate in a new location until your change of location (including inspection) is complete. Operation in a new location without completing your change of location constitutes unlicensed activity, which may result in citation, fines, disciplinary action against licensees working in the unlicensed location, and criminal penalties.

Change of Name only

Application Fee (non-refundable):            $25.00

Change of Location or Change of Name and Location

Application fee:                                                $25.00

Inspection fee:                                                  $100.00

Total:                                                              $125.00

Applications submitted without fees will not be processed.