IndividualActive
Colton Faza, M.D.
NPI 1013363464 · Sports Medicine (Internal Medicine) Physician · Lakeland, FL
Provider details
- NPI number
- 1013363464
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME139617 (FL)
Mailing address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.