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NPI Code Detail

MEDICARE: TEMPLE MOUNT HEALTH SYSTEM, LLC

MEDICARE: TEMPLE MOUNT HEALTH SYSTEM, LLC
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
1207QA0505XAdult Medicine Physician

General Provider Information

NPI Number : 1184569485
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMPLE MOUNT HEALTH SYSTEM, LLC
Provider Business Mailing Address
First Line : 304 E PINE ST UNIT 5390
Second Line :
City : LAKELAND
State : FL
Zip : 33801-4969
Country : US
Telephone Number : 863-370-9669
Fax Number : 863-223-3669
Provider Business Practice Location Address
First Line : 755 CHRISTINA LAKE DRIVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813
Country : US
Telephone Number : 863-370-9669
Fax Number : 863-223-3669
Authorized Official
Title or Position : OWNER
Name : DR. AJIT KAUR BRAR
Credential : MD
Telephone Number : 863-370-9669
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “TEMPLE MOUNT HEALTH SYSTEM, LLC ” Practice Location

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