Organization
EXIOM, LLC
Active
Parent organization
DIVERSIFIED 3D TECHNOLOGIES, INC
Other names
Exiom
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVERSIFIED 3D TECHNOLOGIES, INC
Authorized official
ERIK PAUL (CEO)
(808) 651-1562
Entity
Organization
Contact information
Practice address
440 S JEFFERSON ST, MONTICELLO, FL 32344-1820
(808) 651-1562
Mailing address
440 S JEFFERSON ST, MONTICELLO, FL 32344-1820
(808) 651-1562
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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