Tyrone Manor
NPI #1073721718 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1073721718
- Entity Type
- Organization
- Organization Name
- Tyrone Manor
- Primary Specialty
- Point of Service
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2192 74TH ST N
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33710-4635
- Phone
- (727) 434-2115
Authorized Official
- Name
- WESLEY CHARLES WING
- Title
- ADMINISTRATOR
- Phone
- (727) 434-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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