Organization Active NPI

Campbell'S Caribbean Delight LLC

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
National Provider Identifier
1013616465
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAMPBELL'S CARIBBEAN DELIGHT LLC
Practice address
997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913
Phone
(863) 874-4039
Fax
(863) 816-6963
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Venessa CampbellNPI 1639877129
Title
President
Phone
(863) 874-4039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913

Mailing address

997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913
Phone (863) 874-4039

Other names 1

  • Mobility City of Lakeland Doing business as

National Provider Directory

National Provider Directory

Locations

997 E Memorial Blvd
Ste 103
Lakeland, FL 33801
Phone (863) 874-4039

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1013616465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 E MEMORIAL BLVD STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011913",
            "telephone_number": "863-874-4039",
            "fax_number": "863-816-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 E MEMORIAL BLVD STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011913",
            "telephone_number": "863-874-4039",
            "fax_number": "863-816-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL'S CARIBBEAN DELIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "VENESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-874-4039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility City of Lakeland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.