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Selmawit Desta
Diagnostic Radiology Physician in Jacksonville, Florida
NPI 1265004899

Selmawit Desta is a Diagnostic Radiology Physician based in Jacksonville, FL and is specialized in Diagnostic Radiology. Selmawit Desta practices in Jacksonville, FL. The NPI Number for Selmawit Desta is 1265004899 and holds a License No. 434849 (Florida).

The current practice location address for Selmawit Desta is 1100 Cesery Blvd, Jacksonville, FL and can be reached out via phone at 904-551-5884.

Location: 1100 Cesery Blvd, Jacksonville, FL, 32221-3817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265004899
Provider Name
Selmawit Desta
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 Cesery Blvd, Jacksonville, FL, 32221-3817
Phone Number
904-551-5884
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Cesery Blvd
City
Jacksonville
State
Florida
Zip
32211-5674
Phone Number
904-551-5884
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Cesery Blvd
City
Jacksonville
State
Florida
Zip
32211-5674
Phone Number
904-551-5884
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
434849 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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