Dr Diane L Goldwater, MD, PHD - Preventive Medicine in Ponte Vedra Beach, FL

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Dr Diane L Goldwater, MD, PHD is a Preventive Medicine - Sports Medicine physician based in Ponte Vedra Beach, Florida. Dr Diane L Goldwater is licensed to practice in California (license number A045037) and her current practice location is 830 A1a North Suite 13, #105, Ponte Vedra Beach, Florida. She can be reached at her office (for appointments etc.) via phone at (310) 535-1778.

NPI number for Dr Diane L Goldwater is 1740350776 and her current mailing address is Po Box 2647, Ponte Vedra Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740350776.

Contact Information

Dr Diane L Goldwater, MD, PHD
830 A1a North Suite 13, #105,
Ponte Vedra Beach, FL 32082
(310) 535-1778
Not Available

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Physician's Profile

Full NameDr Diane L Goldwater
GenderFemale
SpecialityPreventive Medicine - Sports Medicine
Location830 A1a North Suite 13, Ponte Vedra Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740350776
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 09/11/2025

Medical Identifiers

Medical identifiers for Dr Diane L Goldwater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740350776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME63438 (Florida)Secondary
207P00000XEmergency Medicine H4354 (Texas)Secondary
2083S0010XPreventive Medicine - Sports Medicine A045037 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Diane L Goldwater is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Diane L Goldwater, MD, PHD
Po Box 2647,
Ponte Vedra Beach, FL 32004-2647

Ph: (310) 535-1778		Dr Diane L Goldwater, MD, PHD
830 A1a North Suite 13, #105,
Ponte Vedra Beach, FL 32082

Ph: (310) 535-1778

Reviews and Comments


Preventive Medicine Doctors in Ponte Vedra Beach, FL


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