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Organization
WAYNE R. PORTER M.D. P.A.
Active
Organization
WAYNE R. PORTER M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE RANDOLPH PORTER M.D. (PRESIDENT)
(305) 949-4223
Entity
Organization
Contact information
Practice address
909 N MIAMI BEACH BLVD, SUITE 203, NORTH MIAMI BEACH, FL 33162-3712
(305) 949-4223
Mailing address
909 N MIAMI BEACH BLVD, SUITE 203, NORTH MIAMI BEACH, FL 33162-3712
(305) 949-4223
(305) 949-9329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0023205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7811
MEDICARE GROUP I.D. NUMB
FL
Enumeration date
02/29/2008
Last updated
07/18/2011
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