IndividualActive
Axel Santiago Carlo, MD
NPI 1114587326 · Sports Medicine (Family Medicine) Physician · Lakeland, FL
Provider details
- NPI number
- 1114587326
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME178769 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone: (863) 680-7000
Fax: (866) 264-8519
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.