DR. DIANE GOLDWATER, M.D., PH.D.

Preventive Medicine - Sports Medicine

Active Individual
NPI: 1740350776

Practice Address

830 A1A NORTH SUITE 13
#105
Ponte Vedra Beach, FL 32082

Phone: (310) 535-1778

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X No H4354 (TX)
Preventive Medicine - Sports Medicine 2083S0010X Yes A045037 (CA)

Frequently Asked Questions

NPI 1740350776 is the National Provider Identifier for DR. DIANE GOLDWATER, M.D., PH.D., a Preventive Medicine - Sports Medicine provider located in Ponte Vedra Beach, FL. This NPI was enumerated on November 8, 2006.
DR. DIANE GOLDWATER, M.D., PH.D. practices at 830 A1A NORTH SUITE 13, #105, Ponte Vedra Beach, FL 32082.

Quick Facts

NPI
1740350776
Type
Individual
Enumerated
Nov 8, 2006
Last Updated
Sep 11, 2025

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