MEDICARE: ZHANNA PODUZOVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		FL

General Provider Information

NPI Number	:	1407729965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHANNA PODUZOVA

Provider Business Mailing Address
First Line	:	9784 GRAND VERDE WAY APT 612
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9784 GRAND VERDE WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-3513
Country	:	US
Telephone Number	:	754-284-5984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ ZHANNA PODUZOVA ” Practice Location

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