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SELMAWIT DESTA
NPI 1265004899
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since July 13, 2021
1100 CESERY BLVD, JACKSONVILLE, FL 32211(904) 551-5884 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Selmawit Desta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELMAWIT DESTA (NPI 1265004899) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Michigan (434849) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1265004899
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSELMAWIT DESTA
Location Address1100 CESERY BLVDJacksonville, FL 32211-5674
Mailing Address2471 Britney Lakes LnJacksonville, FL 32221-3817 · (904) 610-9305
Phone(904) 551-5884
Sole ProprietorNo
Enumeration DateJuly 13, 2021
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1265004899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 434849
Definition

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

1100 CESERY BLVD, Jacksonville, FL 32211
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL PITALUGA LMT
Massage Therapist
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 551-5884
MRS. AMY ANNE BUCKLEY MSW
Social Worker (Clinical)
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 258-9611
AUDREY HALL
Counselor (Mental Health)
1100 CESERY BLVD, STE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
MS. CHRISTINA-JOYCE BELANGER VARNS LMHC
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 11
JACKSONVILLE, FL 32211
Duval County (904) 447-4800
RON-KEITH PATTERSON SR.
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 448-4700
MS. KRISTIN SAUNDERS MSSW
Social Worker (Clinical)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
DARCELLIS STINNETTE LMT
Massage Therapist
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 551-5884
MS. MEA L ARLINE
Counselor (Mental Health)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selmawit Desta's NPI number?

The NPI number for Selmawit Desta is 1265004899. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Selmawit Desta located?

Selmawit Desta practices at 1100 Cesery Blvd, Jacksonville, FL 32211. The listed phone number is (904) 551-5884.

What is Selmawit Desta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Selmawit Desta was last updated on July 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.