Selmawit Desta, - Radiology in Jacksonville, FL

Selmawit Desta, is a Radiology - Diagnostic Radiology physician based in Jacksonville, Florida. Selmawit Desta is licensed to practice in Michigan (license number 434849) and her current practice location is 1100 Cesery Blvd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 551-5884.

NPI number for Selmawit Desta is 1265004899 and her current mailing address is 2471 Britney Lakes Ln, Jacksonville, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265004899.

Contact Information

Selmawit Desta,
1100 Cesery Blvd,
Jacksonville, FL 32211-5674
(904) 551-5884
Not Available

Map and Direction




Physician's Profile

Full NameSelmawit Desta
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location1100 Cesery Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265004899
  • Provider Enumeration Date: 07/13/2021
  • Last Update Date: 07/15/2021

Medical Identifiers

Medical identifiers for Selmawit Desta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265004899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 434849 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Selmawit Desta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Selmawit Desta,
2471 Britney Lakes Ln,
Jacksonville, FL 32221-3817

Ph: (904) 610-9305
Selmawit Desta,
1100 Cesery Blvd,
Jacksonville, FL 32211-5674

Ph: (904) 551-5884

Reviews and Comments


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