Healthcare Provider Details

I. General information

NPI: 1346555133
Provider Name (Legal Business Name): FLORIAN PORTIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2010
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 P ST NW STE 540
WASHINGTON DC
20036-6921
US

IV. Provider business mailing address

2000 P ST NW STE 540
WASHINGTON DC
20036-6921
US

V. Phone/Fax

Practice location:
  • Phone: 202-644-8904
  • Fax:
Mailing address:
  • Phone: 202-644-8904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50078705
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: