Provider Demographics
NPI:1710904644
Name:FILENBAUM, LINDA MARLENE (RD,LDN,CDE,)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARLENE
Last Name:FILENBAUM
Suffix:
Gender:F
Credentials:RD,LDN,CDE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7623 CINEBAR DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6118
Mailing Address - Country:US
Mailing Address - Phone:954-638-2961
Mailing Address - Fax:
Practice Address - Street 1:7623 CINEBAR DRIVE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6118
Practice Address - Country:US
Practice Address - Phone:954-638-2961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4674133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic