Kristtin Dean

Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Dania, FL

NPI 1962364992 · NPPES record last updated Nov 28, 2025

Key facts

NPI
1962364992
Entity type
Individual (NPI type 1)
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
License
AL5403 (FL)
Practice address
761 SW 3Rd St
Dania, FL 33004-4926
Phone
(954) 980-4336
NPI assigned
Nov 28, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AL5403FLMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X AL5403 FL Yes

Addresses

Primary practice location

761 SW 3Rd St
Dania, FL 33004-4926

Mailing address

761 SW 3Rd St
Dania, FL 33004-4926
Phone (954) 980-4336

Other providers in Dania, FL

All providers in Dania, FL · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

Sources for this page

Verify at the official NPI Registry.