| Maria Auxiliadora Painter, DNP, AGNP-BC | |
| 104 Commonwealth Ave N Ste 3, Polk City, FL 33868-9500 | |
| (616) 309-3153 | |
| Not Available | 
| Full Name | Maria Auxiliadora Painter | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 104 Commonwealth Ave N Ste 3, Polk City, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275032997 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11011728 (Florida) | Primary | 
| Entity Name | Transitions Healthcare Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821707407 PECOS PAC ID: 5890166631 Enrollment ID: O20230113001986 | 
| Entity Name | Vitality Ageless Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730657271 PECOS PAC ID: 6800135872 Enrollment ID: O20240628000026 | 
| Entity Name | Whc Of Florida Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871331462 PECOS PAC ID: 8729510300 Enrollment ID: O20241021003367 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maria Auxiliadora Painter, DNP, AGNP-BC 132 V Matt Williams Blvd, Polk City, FL 33868-9273 Ph: (616) 309-3153 | Maria Auxiliadora Painter, DNP, AGNP-BC 104 Commonwealth Ave N Ste 3, Polk City, FL 33868-9500 Ph: (616) 309-3153 | 
| Danielle Renee Conlon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15460 Rockridge Rd, Polk City, FL 33868 Phone: 330-605-0235 |