# MEDIPRO MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194633776
- **Authorized official:** DJUAN JAYVIN BROWN (CEO)
- **Authorized official phone:** (915) 667-1342

## Contact information

- **Practice address:** 700 W CANAL ST S, BELLE GLADE, FL 33430-3055
- **Practice address phone:** (915) 667-1342
- **Mailing address:** 700 W CANAL ST S, BELLE GLADE, FL 33430-3055
- **Mailing address phone:** (915) 667-1342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2026
- **Last updated:** 09/01/2026