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TYRONE MANOR
NPI 1073721718
Point of Service in Saint Petersburg, FL

Active since May 18, 2007
2192 74TH ST N, SAINT PETERSBURG, FL 33710(727) 434-2115 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyrone Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRONE MANOR (NPI 1073721718) is a healthcare organization registered as a point of service in Saint Petersburg, Florida and active in the NPI registry since May 2007. The organization lists Wesley Charles Wing, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073721718
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameTYRONE MANOR
Location Address2192 74TH ST NSaint Petersburg, FL 33710-4635
Mailing Address2192 74th St NSaint Petersburg, FL 33710-4635 · (727) 434-2115
Phone(727) 434-2115
Organization SubpartNo
Authorized OfficialWesley Charles WingAdministrator · (727) 434-2115
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073721718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in FL · 7309
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2192 74TH ST N, Saint Petersburg, FL 33710
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROSITA WING
Assisted Living Facility
2192 74TH ST N
SAINT PETERSBURG, FL 33710
Pinellas County (727) 434-2115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyrone Manor's NPI number?

The NPI number for Tyrone Manor is 1073721718. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Tyrone Manor located?

Tyrone Manor is located at 2192 74th St N, Saint Petersburg, FL 33710. The listed phone number is (727) 434-2115.

What is Tyrone Manor's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Tyrone Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.