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.
Physician's Profile
Full Name | Dr Diane L Goldwater |
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Gender | Female |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 830 A1a North Suite 13, Ponte Vedra Beach, Florida |
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Accepts Medicare Assignments | Does 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: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Diane L Goldwater such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740350776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | ME63438 (Florida) | Primary |
207P00000X | Emergency Medicine | H4354 (Texas) | Primary |
2083S0010X | Preventive 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 Address | Practice 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 |
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