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

Bruk Tesfaye

Individual provider Pharmacist · NPI 1407451990

Bruk Tesfaye is a Pharmacist in Mount Dora, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone: (352) 357-6904
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 48626 (FL)

Record details

NPI number1407451990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address17021 Us Highway 441, Mount Dora, FL 32757-6734

Other providers in Mount Dora