Wayne R. Porter M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0023205 Issued in FL

Legal business name

WAYNE R. PORTER M.D. P.A.

Practice address

909 N Miami Beach Blvd
Suite 203
North Miami Beach, FL 33162-3712

Phone

(305) 949-4223

NPI assigned

Feb 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne Randolph Porter, M.D.

Title

President

Phone

(305) 949-4223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1043489446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-949-4223",
            "fax_number": "305-949-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-949-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE R. PORTER M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-949-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0023205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP I.D. NUMB",
            "identifier": "K7811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.