Healthcare Provider Details

I. General information

NPI: 1750091476
Provider Name (Legal Business Name): HUGO JOSE OCANDO TUVINEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4177 SAN FELICE LN
NORTH FORT MYERS FL
33917-2258
US

IV. Provider business mailing address

4177 SAN FELICE LN
NORTH FORT MYERS FL
33917-2258
US

V. Phone/Fax

Practice location:
  • Phone: 786-344-5393
  • Fax:
Mailing address:
  • Phone: 786-344-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-13268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: