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NPI Code Detail

MEDICARE: SELAMAWIT TESFAMARIAM

MEDICARE:   SELAMAWIT  TESFAMARIAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW25753FL

General Provider Information

NPI Number : 1215880968
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELAMAWIT TESFAMARIAM
Provider Business Mailing Address
First Line : 1300 RIVERLAND RD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2961
Country : US
Telephone Number : 954-483-9744
Fax Number :
Provider Business Practice Location Address
First Line : 1300 RIVERLAND RD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2961
Country : US
Telephone Number : 954-483-9744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ SELAMAWIT TESFAMARIAM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.