Goldwater, Diane L

Goldwater, Diane L is an sole proprietor health care provider with primary practice located at 830 A1A North Suite 13 #105, Ponte Vedra Beach FL 32082. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Goldwater, Diane L can be contacted via phone (310) 535-1778.

Contact Information

Primary practice address
830 A1A North Suite 13 #105 Ponte Vedra Beach FL 32082
Phone: (310) 535-1778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME63438 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H4354 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X A045037 California

Profile Details

NPI number 1740350776
LBN Legal business name Goldwater, Diane L
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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