MEDICARE: MRS. AMANDA L CONKLIN MS, RD, LDN, CNSC

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	133V00000X	Registered Dietitian	L006492	NC
2	133V00000X	Registered Dietitian	ND10545	FL
3	133V00000X	Registered Dietitian	DN004677	PA
4	133V00000X	Registered Dietitian	3651	SC

General Provider Information

NPI Number	:	1700157419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA L CONKLIN MS, RD, LDN, CNSC

Provider Business Mailing Address
First Line	:	4001 NEW BROAD CIR APT 113
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7359
Country	:	US
Telephone Number	:	689-262-0597
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 NEW BROAD CIR APT 113
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7359
Country	:	US
Telephone Number	:	689-262-0597
Fax Number	:

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

Provider Enumeration Date	:	01/26/2012
Last Update Date	:	06/01/2026

Similar Medicare Providers

1447923636 — HOLLY WHITT
Practice Location Address:

901 CLARK ST
OVIEDO, FL
32765-7378

Practice Phone: 569-340-7359
Practice Fax: 407-792-5693

1699432823 — CHRISTINA HILL NP
Practice Location Address:

8315 RED BUG LAKE RD
OVIEDO, FL
32765-6860

Practice Phone: 407-599-6193
Practice Fax: 407-599-6194

1033088471 — RAQUEL MICHELLE ODIETE PMHNP-BC
Practice Location Address:

8400 RED BUG LAKE RD STE 2080
OVIEDO, FL
32765-6835

Practice Phone: 833-769-3524
Practice Fax:

1093865768 — CONNIE DAWSON LMHC, RPT-S
Practice Location Address:

2441 W SR 426 STE 1051
OVIEDO, FL
32765-4516

Practice Phone: 407-365-1199
Practice Fax: 407-365-1177

1346174091 — CHEYNE RANCH, INC
Practice Location Address:

1963 GENOVA DR
OVIEDO, FL
32765-7222

Practice Phone: 407-680-3348
Practice Fax:

1043728934 — NORISHA QUINONES
Practice Location Address:

8300 RED BUG LAKE RD
OVIEDO, FL
32765-6801

Practice Phone: 440-890-2273
Practice Fax:

Directions to “ MRS. AMANDA L CONKLIN MS, RD, LDN, CNSC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.