IndividualActive
Diane Goldwater, M.D., PH.D.
NPI 1740350776 · Sports Medicine (Preventive Medicine) Physician · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1740350776
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME63438 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
830 A1a North Suite 13
#105
Ponte Vedra Beach, FL 32082
Phone: (310) 535-1778
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2647
Ponte Vedra Beach, FL 32004-2647
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.