Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Selmawit Desta

Individual provider Diagnostic Radiology Physician · NPI 1265004899

Selmawit Desta is a Diagnostic Radiology Physician in Jacksonville, Florida. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

1100 Cesery Blvd
Jacksonville, FL 32211-5674
Phone: (904) 551-5884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 434849 (MI)

Record details

NPI number1265004899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address2471 Britney Lakes Ln, Jacksonville, FL 32221-3817

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