Provider Demographics
NPI:1396627576
Name:KURFISS, TAMARA (RN)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:KURFISS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16610 GOOSE RIBBON PL
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-2359
Mailing Address - Country:US
Mailing Address - Phone:813-468-1903
Mailing Address - Fax:
Practice Address - Street 1:601 GAY ANN DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33594-2976
Practice Address - Country:US
Practice Address - Phone:813-468-1903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9487728163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)