Provider Demographics
NPI:1154579191
Name:CF HEALTH MANAGEMENT
Entity type:Organization
Organization Name:CF HEALTH MANAGEMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMBURAKO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/CEO
Authorized Official - Phone:770-534-2300
Mailing Address - Street 1:3 WASHINGTON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-4100
Mailing Address - Country:US
Mailing Address - Phone:770-534-2300
Mailing Address - Fax:770-534-2900
Practice Address - Street 1:3 WASHINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4100
Practice Address - Country:US
Practice Address - Phone:770-534-2300
Practice Address - Fax:770-534-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0610012081P2900X
261QP3300X
GA26067261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain