Individual ProviderGeorge TysonRadiologyAllopathic & Osteopathic PhysiciansPractice Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655(727) 381-1674PECOS EnrollmentBased on the most recent information from CMS, provider George Tyson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1851465082Provider TypeIndividualFull NameTyson, GeorgeTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date11/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655Phone(727) 381-1674Fax(727) 381-4226Mailing LocationMailing Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655Phone(727) 381-1674Fax(727) 381-4226Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME59889Florida