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Contact Information

COLTON A FAZA, MD
3030 HARDEN BLVD
LAKELAND, FL33803-7952
 Phone: 863-687-1250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for COLTON A FAZA · (Male)

NPI # 1013363464
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2016
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME139617
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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