DIANE L. GOLDWATER M.D., PH.D. – NPI #1740350776
Preventive Medicine
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
DIANE GOLDWATER is a physician located in PONTE VEDRA BEACH, FL. NPPES has assigned the NPI number 1740350776 to DIANE GOLDWATER on November 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIANE GOLDWATER below.
NPI Profile for
DIANE L. GOLDWATER
(more than 19 years ago)
#105
PONTE VEDRA BEACH, FL 32082 Phone: (310) 535-1778 Fax:
PONTE VEDRA BEACH, FL 32004-2647 Phone: (310) 535-1778 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2083S0010X - Preventive Medicine / Sports Medicine (Primary) |
CA | A045037 |
| 207P00000X - Emergency Medicine |
FL | ME63438 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.