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NPI Code Detail

MEDICARE: MR. MICHAEL EDWIN TUFARO O.T.R.

MEDICARE:  MR. MICHAEL EDWIN TUFARO  O.T.R.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist730FL

General Provider Information

NPI Number : 1659349157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL EDWIN TUFARO O.T.R.
Provider Business Mailing Address
First Line : 13691 METRO PKWY 400
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4349
Country : US
Telephone Number : 239-768-2272
Fax Number : 239-768-5549
Provider Business Practice Location Address
First Line : 13691 METRO PKWY 120
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4348
Country : US
Telephone Number : 239-768-2272
Fax Number : 239-768-5549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 08/21/2015

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Directions to “ MR. MICHAEL EDWIN TUFARO O.T.R.” Practice Location

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