Provider Demographics
NPI:1659349157
Name:TUFARO, MICHAEL EDWIN (OTR)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:EDWIN
Last Name:TUFARO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13691 METRO PKWY 400
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4349
Mailing Address - Country:US
Mailing Address - Phone:239-768-2272
Mailing Address - Fax:239-768-5549
Practice Address - Street 1:13691 METRO PKWY 120
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4348
Practice Address - Country:US
Practice Address - Phone:239-768-2272
Practice Address - Fax:239-768-5549
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL730225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand