SELMAWIT DESTA

Radiology - Diagnostic Radiology

Active Individual
NPI: 1265004899

Practice Address

1100 CESERY BLVD
Jacksonville, FL 32211

Phone: (904) 551-5884

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes 434849 (MI)

Frequently Asked Questions

NPI 1265004899 is the National Provider Identifier for SELMAWIT DESTA, a Radiology - Diagnostic Radiology provider located in Jacksonville, FL. This NPI was enumerated on July 13, 2021.
SELMAWIT DESTA practices at 1100 CESERY BLVD, Jacksonville, FL 32211.

Quick Facts

NPI
1265004899
Type
Individual
Enumerated
Jul 13, 2021
Last Updated
Jul 15, 2021

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