Individual provider · Type 1 NPI

Selmawit Desta

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1265004899 Active

Practice location

1100 Cesery Blvd
Jacksonville, FL 32211-5674

Call (904) 551-5884 Map

Mailing address

2471 Britney Lakes Ln
Jacksonville, FL 32221-3817

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X434849 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1265004899

Selmawit Desta's National Provider Identifier is 1265004899, issued on Jul 13, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 15, 2021.