OrganizationActive
Tyrone Manor
NPI 1073721718 · Point of Service · Saint Petersburg, FL
Provider details
- NPI number
- 1073721718
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Wesley Wing, Administrator(727) 434-2115
- License
- 7309 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2192 74th St N
Saint Petersburg, FL 33710-4635
Phone: (727) 434-2115
Street-level locationGet directions
Mailing address
2192 74th St N
Saint Petersburg, FL 33710-4635
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.