Diane Goldwater, M.D., PH.D.

Individual Active
NPI 1740350776
Sports Medicine (Preventive Medicine) Physician Ponte Vedra Beach, FL

NPI 1740350776 belongs to Diane Goldwater, M.D., PH.D., a sports medicine (preventive medicine) physician with a practice location in Ponte Vedra Beach, FL. The NPI was issued on November 8, 2006, and the record was last updated in NPPES on September 11, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010X A045037 (CA)
Emergency Medicine Physician 207P00000X ME63438 (FL)
Emergency Medicine Physician 207P00000X H4354 (TX)

Practice location

830 A1A North Suite 13
#105
Ponte Vedra Beach, FL 32082
Phone: (310) 535-1778

Local context

Active NPPES records list 1 provider with sports medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 17 in Florida and 168 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Diane L Goldwater
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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