Tyrone Manor

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

7309 Issued in FL

Legal business name

TYRONE MANOR

Practice address

2192 74TH St N
Saint Petersburg, FL 33710-4635

Phone

(727) 434-2115

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wesley Charles Wing

Title

Administrator

Phone

(727) 434-2115

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosita Wing

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1619319126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073721718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 74TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104635",
            "telephone_number": "727-434-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2192 74TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104635",
            "telephone_number": "727-434-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WING",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-434-2115"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "7309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok Kumar Tyagi, D.O.
• Delaney Tyl
• Michael Robert Tyler, RPH
• Rose Hanna Tyler
• Timara Tyler, LCDC, LMHC
• Tyrone Square Mall Dental P.a
• George Tyson, M.D.
• Heather M Tyson, APRN
• U S Lab & Radiology LLC (Gramic Research Laboratory)
• U.S. Healthworks Meddical Group of Florida, Inc.

• Point of Service in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.