Provider Demographics
NPI:1013616465
Name:CAMPBELL'S CARIBBEAN DELIGHT LLC
Entity Type:Organization
Organization Name:CAMPBELL'S CARIBBEAN DELIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VENESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-874-4039
Mailing Address - Street 1:997 E MEMORIAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-1913
Mailing Address - Country:US
Mailing Address - Phone:863-874-4039
Mailing Address - Fax:863-816-6963
Practice Address - Street 1:997 E MEMORIAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-1913
Practice Address - Country:US
Practice Address - Phone:863-874-4039
Practice Address - Fax:863-816-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies