Active NPI
Wayne Randolph Porter, M.D.
- Specialist
- North Miami Beach, FL
National Provider Identifier
1346280682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0023205
- Practice address
- 909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712 - Phone
- (305) 949-4223
- Fax
- (305) 949-9329
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0023205 | FL | Primary |
Addresses
Primary practice location
909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712
Mailing address
909 N Miami Beach Blvd
Suite 403
North Miami Beach, FL 33162-3712
Phone (305) 949-4223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92706 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| ME0023205 | Other | FL | MEDICAL LICENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346280682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N MIAMI BEACH BLVD",
"address_2": "SUITE 403",
"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 403",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623712",
"telephone_number": "305-949-4223",
"fax_number": "305-949-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "WAYNE",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0023205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "92706",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE NUMBER",
"identifier": "ME0023205",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.